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Requests for Medical Records | UPMC

    https://www.upmc.com/patients-visitors/medical-records
    Here are the different ways to obtain and request changes to your medical records: Log in to your UPMC patient portal account. If you don't have an account yet, learn how to sign …

Authorization for Release of Protected Health …

    https://www.upmc.com/-/media/upmc/patients-visitors/patient-info/documents/authorization-for-release-of-protected-health-information---revision-5-10.pdf?la=en&hash=42EEC282571A734BE5CD60168D37CBF581DAF6B6
    Parts 1 and 2 must be completed to properly identify the records to be released. 1. Type of records to be released and approximate date(s) of service (check all that apply): …

Requesting Your Records From UPMC In Home | UPMC

    https://www.upmc.com/patients-visitors/medical-records/home-assessment-response-team
    Requesting Your Records From UPMC In Home. To request your medical records. Download the Authorization for the Release of Protected Health Information Form …

AUTHORIZATION FOR RELEASE OF …

    https://cdn.upmc.com/-/media/upmc/patients-visitors/medical-records/documents/medical-release-form.pdf?rev=6287e92ebc614091ae6b632c55cde3ef&hash=3ED3CDD27F1B5AC31447555D2F82B013
    Authorization for Release of Protected Health Information. Additional Patient Rights and Responsibilities A disclosure statement, as required by law, will accompany all records …

Authorization of Release of Protected Health Information

    https://www.upmc.com/locations/hospitals/magee/patients-and-visitors/information-for-patients/release-of-protected-health-information
    Please review our Notice of Privacy Practice. This notice explains how we meet this commitment. To authorize UPMC Magee-Womens Hospital to release your medical …

Medical Records | UPMC in central Pa.

    https://www.upmc.com/campaigns/southcentral-pa/patients-visitors/medical-records
    You may complete the authorization form by either: Coming directly to the hospital campus; Downloading, printing and completing the online Authorization to Use or Disclose Health …

Medical Prior Authorization | Providers | UPMC Health Plan

    https://www.upmchealthplan.com/providers/medical/resources/forms/medical-pa.aspx
    Concurrent Authorization Request Form Agency Request Form to Transfer Shift Care Hours Shift Care Services Additional Hours Form Physician Certification Form for Child …

AUTHORIZATION FOR RELEASE OF …

    https://cdn.upmc.com/-/media/upmc/locations/hospitals/hamot/patients-visitors/documents/medical-record-release-form.pdf?rev=1f67767d295a4050942322142ccbd478&hash=2256D4FD0ECF3015731854EBE465D391
    release of inpatient & outpatient mental health information from a licensed facility. A minor can authorize release of Appropriate paperwork required : Drug & Alcohol treatment …

Request Medical Records | UPMC Williamsport

    https://www.upmc.com/locations/hospitals/williamsport/patients-visitors/request-medical-records
    Make Changes to Your UPMC Williamsport Health Records. Every UPMC patient can request a change to their health record. To amend your record: Download and complete …

Request Medical Records | UPMC Harrisburg

    https://www.upmc.com/locations/hospitals/harrisburg/patients-visitors/request-medical-records
    You may complete the authorization form by either: Coming directly to the hospital campus; Downloading, printing and completing the online Authorization to Use or Disclose Health …



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