Patient Info

Medical Records Request

Patient Info/Medical Records Request

Requesting your records

As a patient of Tri-State Orthopaedics and/or Tri-State Physical Therapy, you have the right to view and receive copies of your medical records. Download and complete the authorization form below, then submit it using any of the methods listed.

How to submit your completed form

  1. Complete the form in full — include your name, date of birth, email address, a description of the records requested, the recipient's mailing address and phone number, an expiration date, and your signature.
  2. Submit by mail:
    Tri-State Orthopaedics & Sports Medicine, Inc.
    Attn: Medical Records Department
    5900 Corporate Drive, Suite 200
    Pittsburgh, PA 15237
  3. Submit by fax: (412) 367-9862, Attn: Medical Records Department
  4. Submit by email: Scan your signed form and send to medicalrecords@tristateortho.com
Requests take up to 7 business days. Questions? Call (412) 369-4000, Ext. 365 or email medicalrecords@tristateortho.com.