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Patient Account # (for internal use only):___HEALTH INFORMATION MANAGEMENT DEPARTMENTAUTHORIZATION TO REQUEST MEDICAL RECORDS hereby authorize the use or disclosure of my Protected Health Information

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How to fill out wwwupmccom patients-visitors medical-recordsrequests for

01

To fill out the www.upmc.com patients-visitors medical-records requests form, follow these steps:

02

Visit the UPMC website at www.upmc.com.

03

Navigate to the 'Patients & Visitors' section of the website.

04

Click on the 'Medical Records Requests' link.

05

Read the information provided on the page regarding medical records requests.

06

Locate and download the medical records request form.

07

Print out the form and fill it out completely, providing the required information.

08

Make sure to include your contact information, as well as any necessary identification or authorization.

09

Review the completed form to ensure all information is accurate and complete.

10

Submit the form either by mail or in-person at the designated UPMC location.

11

If mailing, address the envelope to the appropriate UPMC facility or department.

12

Keep a copy of the completed form for your records.

13

Wait for UPMC to process your request and provide you with the requested medical records.

Who needs wwwupmccom patients-visitors medical-recordsrequests for?

01

Anyone who requires their medical records from UPMC may need to fill out the www.upmc.com patients-visitors medical-records requests form. This can include current or former patients, family members, legal representatives, or healthcare providers who are authorized to access the medical records. It is important to follow the proper procedure outlined by UPMC to ensure that the requested medical records are obtained accurately and securely.

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What is wwwupmccom patients-visitors medical-recordsrequests for?

wwwupmc.com patients-visitors medical-records requests is for requesting medical records from UPMC for patients and visitors.

Who is required to file wwwupmccom patients-visitors medical-recordsrequests for?

Patients or their authorized representatives are required to file wwwupmc.com patients-visitors medical-records requests.

How to fill out wwwupmccom patients-visitors medical-recordsrequests for?

To fill out wwwupmc.com patients-visitors medical-records requests, individuals need to provide personal information, the patient's information, and specify the records being requested.

What is the purpose of wwwupmccom patients-visitors medical-recordsrequests for?

The purpose of wwwupmc.com patients-visitors medical-records requests is to obtain medical records for personal use, legal purposes, or for continuity of care.

What information must be reported on wwwupmccom patients-visitors medical-recordsrequests for?

Information that must be reported on wwwupmc.com patients-visitors medical-records requests includes personal details, patient information, specific records being requested, and the purpose of the request.

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