The Health Information Management Department maintains records for all inpatient, same-day surgery and outpatient services.
Access to medical records is protected by Pennsylvania State Department of Health regulations and Health Insurance Portability and Accountability Act (HIPAA). UPMC Children's Hospital of Pittsburgh has partnered with Verisma, a national correspondence company, to copy and process medical records that are requested by Parents and Third Party Requestors. Please be advised that the staff who process your request are specially trained to protect the confidentiality of your child’s records.
Copies of medical records may be released upon receipt of written and signed authorization of the Parent, Legal Guardian or Patient (if over 18 years of age). Download the Authorization for Release of Protected Health Information Form.
Patient and Patient-Directed Requests
Patients may request a copy of their medical record or ask that a copy be directed to another recipient. An Authorization for Release of Protected Health Information can be used for such requests. The record can be provided in several formats (electronic and paper) which can be specified. UPMC Children's Hospital of Pittsburgh charges reasonable cost-based fees for copies of medical records.
Other Requestors
Requests for medical records from others require a HIPAA compliant authorization for Release of Protected Health Information. UPMC Children's Hospital of Pittsburgh uses the Pennsylvania State Department of Health Charges for Medical Records fee schedule.
A completed and signed Authorization for Release of Protected Health Information form can be sent to our Health Information Management Department as follows:
Fax: 412-692-6068
E-mail: RecordRelease@chp.edu
Mail:
UPMC Children's Hospital of Pittsburgh
Health Information Management
4401 Penn Avenue
Pittsburgh, PA 15224
Contact Us
For questions, please contact Children's Hospital's Health Information Management Department at 412-692-6834.
If an Authorization for Release of Protected Health Information form has already been submitted and you have received a letter from Verisma with your access code, please click here to check the status of your request.
Hours:
8 a.m. – 4 p.m.
Monday – Friday
Additional resources
