Requesting Your Medical Records from UPMC Presbyterian

To request your records from UPMC Presbyterian:

Download the Authorization for the Release of Protected Health Information Form (PDF).
Fill out the form. Be sure to complete both Part 1 and Part 2. For help, review the form completion guide (PDF).
Sign and date the form.
Make a copy for yourself.
Mail, drop off, or email the original form to UPMC.

Scan the form and email it to ROIRequest@upmc.edu or mail the completed form to:

UPMC, Release of Information Department
600 Grant Street, Floor 21
Pittsburgh, PA 15219

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.

If you have questions about requesting your medical records from UPMC Presbyterian, call 412-647-0357.