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​Requesting your Medical Records

At Magee-Womens Hospital of UPMC, we are committed to protecting the privacy of your medical information — health, treatment, or payment information that identifies you — as federal and state laws require. Please review our Notice of Privacy Practice. This notice explains how we meet this commitment.
 
To authorize Magee-Womens Hospital of UPMC to release your medical records to yourself, physician or insurance company, or if you are requesting medical records on behalf of someone else, you must complete the Authorization for the Release of Protected Health Information Form (PDF).
 

Download and fill out the form. Please type or print neatly and  be sure to complete both Part 1 and Part 2. (Review the informational guide for completing the form)

Once you sign and date the form, make a copy for yourself and send the original to UPMC.

Mail the authorization to:
UPMC
200 Lothrop Street Melwood Building – Lower Level
Release of Information Department
Pittsburgh, PA 15213

OR

Walk-ins welcome to visit our building:
450 Melwood Avenue - Lower Level
Pittsburgh, PA 15213

OR

Scan the form and email it to ROIRequest@upmc.edu.

After we receive your request, we will send you an invoice for the cost of the records you requested. You should receive this invoice seven to 10 days after we receive your request.

Send payment as indicated on the invoice. Records will be mailed the day after we receive payment.

CONNECT
  • Magee-Womens Hospital of UPMC
  • 300 Halket Street
  • Pittsburgh, PA 15213-3180
  • Main phone: 412-641-1000
  • Toll-free:
    1-866-MyMagee (696-2433)
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