Park Cardiothoracic
& Vascular Institute

575 Coal Valley Road
Suite 504
Jefferson Borough, PA 15025
412-469-7900

Uniontown
97 Delaware Avenue
Suite 103
Uniontown, PA 15401
724-438-1845

 

Health Links

Jefferson Hospital
Pennsylvania Health Care Cost Containment Report

 

Consent For Release Of Medical Information

In order to obtain your health information from other facilities you must complete the CONSENT FOR RELEASE OF MEDICAL INFORMATION form.

Use this link to download the Consent for Release of Medical Information Form

Please complete and mail form to:

Park Cardiothoracic & Vascular Institute
575 Coal Valley Road, Suite 504
Jefferson Borough, PA 15025

Or fax completed form to:

Park Cardiothoracic & Vascular Institute
412-469-7919

If you have any questions, please contact our office staff at 412-469-7900.