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Medical Records Transfer

Medical Records Transfer to the Allegheny Health Network from Previous Provider

To request a transfer of your medical records from your previous provider to the Allegheny Health Network (“AHN”) for continuing care, please complete and sign this Authorization form. A list of AHN providers and their addresses can be found at https://www.ahn.org/find-a-doctor. There are several options available to you to ensure your records are transferred appropriately:
 
  • You may mail the signed form to your new AHN provider so that it can be processed as soon as possible, and AHN will obtain your medical records on your behalf; or
  • You may bring the completed form to your new AHN provider during your first visit, and AHN will then begin the process of requesting your records; or
  • You may return the completed form to your previous provider, and your records will then be transferred to AHN.
 
If you have not yet selected a new AHN provider, please contact the AHN Call Center at 412.362.8677 or toll free at 844.246.2778, or the Highmark MyCareNavigator at 888.258.3428, for assistance in locating and selecting an AHN provider, and also for information concerning charges that may apply, as the Health Insurance Portability and Accountability Act (“HIPAA”) allows healthcare providers to charge patients reasonable prices for medical record reproduction.