Medical Records & Authorizations

Follow the procedures outlined on this page to securely request your personal medical records

A new and easy way: Digitally request your medical records

As a Tri Rivers patient, you now have the option to quickly and easily request your medical records through a digital portal. Please click here to view an informational attachment that will outline the necessary steps to complete the process.

Tried and true: Completing a written request using an authorization form

If you would prefer to complete your medical record request through manually written documentation, please fill out an Authorization for Release of Protected Health Information form. This is the original form used to authorize the release of health records for personal use. HIPAA guidelines state the authorization forms cannot be altered after they are signed and submitted by Tri Rivers.

Tri Rivers uses the independent company, CIOX Health to process medical records requests for all entities. If you have completed an Authorization for Release of Protected Health Information form and would like to check the status of your records release, call CIOX health directly at 1-866-425-0174.

Submitting your completed authorization form

Completed authorization forms can be hand-delivered to any of our six main physician office locations or can be sent to either the fax number or mailing address below:

Fax:      412-630-8019
            Attn: Forms & Medical Records Department

Mail:    Tri Rivers Musculoskeletal Centers
           Attn: Forms & Medical Records Department
           7500 Brooktree Road, Suite 302
           Wexford, PA 15090
           (Please do not hand-deliver to this location.)

Questions relating to processing fees after submitting an Authorization for Release of Protected Health Information form:

  • Tri Rivers and CIOX Health observe the state-regulated fee schedule to copy and release medical records
  • Tri Rivers charges a $15 fee for completion of most forms, including but not limited to disability, Aflac and Family and Medical Leave Act (FMLA)
  • All applicable fees are payable upon request for emdical records or form completion
  • Due to the large number of requests, forms are completed 10 to 14 business days after submission

If you have any specific questions, please direct them to the appropriate department:

Disability Forms or FMLA Paperwork at 412-367-5814, ext. 166
Patient Medical Records Request at 412-367-3851
Workers’ Compensation at 412-367-3841