Hunter's Ambulance

Attorney Request for Medical Records

If you are an attorney and want to request records and/or invoices on behalf of your client, please complete and upload the HIPAA authorization form below as it is required.  If you have your own form already, this is not necessary.

HIPPA Authorization Form 

MEDICAL RECORDS/INVOICES REQUESTS

Be sure to “*Select the chosen image from the images below” when prompted, or you will get an error, then, click “Submit”.

IMPORTANT: Upon receipt of the email from HealthEMS, please be sure to follow the FIRST link to confirm your account or we will not receive your request.