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Requesting Your Medical Records from UPMC East

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To request your records:

  1. Download the Authorization for the Release of Protected Health Information Form (PDF). 
  2. Sign and date the form.
  3. Make a copy for yourself.
  4. Mail, drop off, or email the original authorization form to UPMC:

Mail the authorization to:

UPMC, Release of Information Department
450 Melwood Avenue, Lower Level
Pittsburgh, PA 15213  

Scan the form and email it to

After We Receive Your Request for Medical Records

  • After we receive your authorization form, we will send you an invoice for the cost of your records. You should get this invoice within 7 and 10 days from when we received your request.
  • Send payment as indicated on the invoice.
  • After we receive payment, we will mail your records the next day.