Requesting Your Medical Records from UPMC Bedford Memorial

To request your medical records:

  1. Download the Authorization for the Release of Protected Health Information Form (PDF).
  2. Fill out the form. Please type or print neatly. Be sure to complete both Part 1 and Part 2.
  3. Sign and date the form.
  4. Make a copy for your records.

Mail the original authorization form to:

UPMC Bedford Memorial
Health Information Management Department
10455 Lincoln Highway
Everett, PA 15537

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.

Contact Us

UPMC Bedford Memorial
10455 Lincoln Highway
Everett, PA 15537

814-623-6161

Schedule an appointment by calling 1-800-533-UPMC (8762) or request an appointment online.

Medical Records Questions?

If you have questions, call
814-623-3507

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For help in finding a doctor or health service that suits your needs, call the UPMC Referral Service at 412-647-UPMC (8762) or 1-800-533-UPMC (8762). Select option 1.

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