Medical Records Requests

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EMS Billing Requests and Assistance:

Contact Digitech –
(855) 952-6246 or FLFR@payambulance.com

Incident Reports

Each incident contains the incident type, time of call, location, dispatch time and arrival, and responding apparatus. For each EMS incident, additional information is included which consist of patient name, billing information, and medical status which may include listing of vital signs taken by the paramedic.

The Records Custodian is responsible for the research and distribution of Fire Rescue and Emergency Medical Services (EMS) reports for public information according to state statutes. A field report for each incident is recorded in our record management database.

For EMS requests, call the Records Custodian at 954-828-6800.

The form below is only for EMS medical records, transport records and general information.
Refer to the Digitech link or phone number above for billing requests and questions.

Please correct the fields below:

Please correct the field(s) marked in red below:

1

Full Name:

*

Full Name:

2

Email Address

*

Email Address

3

Telephone:

*

Telephone:ext.

4

Type of Report:

*

Type of Report:

Medical Transport Record (Went to Hospital)

General Incident Report (No Transport)

Other (See Additional Info Section)

5

Date of Service (if available):

Date of Service (if available):

6

Additional Information

Additional Information

If you have any questions, please email EMR@fortlauderdale.gov or call 954-828-6800.

To receive a copy of your submission, please fill out your email address below and submit.
Email Address

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City of Fort Lauderdale, FL

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Medical Records Requests