To request a medical report for dates of service prior to November 1st, 2024 visit submit a Medical Records Request online or visit the Incident Report Requests page for more information.
To request medical records for dates of service on or after November 1st, 2024, please download, complete, and submit the Patient Records Request Form(PDF, 129KB).
- Fax the request (secure and direct) to 800-608-9457
- Mail the request to PO Box 180446, Dallas, TX 75218
- To email a request, we need to create a secure, encrypted email channel to receive your form. Please email records@emergicon.com with general information that you need to request records, and you will receive a secure email from us to use for the request process.
- Call 972-602-2060 ext. 1611 if you need help. Se habla Español.
If you are an attorney, please submit your request via www.chartswap.com with the EMS service as the Provider.