HeritageValley Health System works with an outside source to coordinate providing copies of medical records to patients and/or authorized people. To process a request to obtain copies of medical records, follow one of the following options:

  • Request the Medical Records Release form be sent to you by contacting the appropriate Medical Records Department:
    • Heritage Valley Beaver: 724.773.7600
    • Heritage Valley Sewickley : 412-749-7187
  • Download the Medical Records Release form, complete it and send to the appropriate Medical Records Department:
    • Heritage Valley Beaver, Medical Records Release of Information, 1000 Dutch Ridge Road, Beaver, PA 15009
    • Heritage Valley Sewickley , Medical Records Release of Information, 720 Blackburn Road, Sewickley, PA 15143
  • Note: Please complete all appropriate sections on form. Make sure to include a phone number where you can be reached in case additional information is required. On page 2, a signature is required in under both the Patient Rights section and the Sensitive information section of the form will not be able to be processed.
  • Questions?
    • For Heritage Valley Beaver records contact Release of Information staff at 724.773.7600
    • For Heritage Valley Sewickley records contact Release of Information staff at 412-749-7187,
    HVHS works with an outside service to process medical records requests. Fees for processing a medical record are based on fees set by the Pennsylvania Department of Health as follows, effective January 1, 2013:
Requestor
Copy Charges
Patients, Patient Representatives, Attorneys & Copy Services

$21.07 search and retrieval fee
$1.42 / page (1-20 pages)
$1.05 / page (21-60 pages)
$0.34 / page (61 + pages)
$2.05 / page (microfilm copies)
Actual postage
District Attorney and Public Defenders $21.07 / request
Requests for Social Security or Disability Benefits $26.70 / request
Requests for continued care, Military No charge