Federal and state law strictly limits who may obtain your confidential medical record.
Copies of a South County EMS Patient Care Report (PCR) may be requested by forwarding an Authorization for Release of Protected Health Information and any supporting documents by mail, fax, or email.
If you wish to request your own patient care report, please download the Authorization for Release of Protected Health Information on the left and forward it along with any supporting documents to us.
The form must be signed by the patient unless the patient is not capable of signing or has deceased. In the case of a patient that is not capable of signing on his/her own behalf, the form may be signed by a guardian or durable power of attorney with supporting documents. In the case of a patient that has deceased, the form may be signed by his/her spouse or other next of kin or his/her executor.
Private attorneys seeking a patient care report in conjunction with litigation must submit a request in writing, which must include the following information: incident date; incident location; approximate time of incident; and the patient's name and date of birth. A signed Medical Release Form and statement of representation must be attached to the request.
For copies or information regarding a bill, please refer to our Billing Questions page.