Rescue Transport Report Request

Attorneys

    Mail the subpoena or records request with HIPAA release to City of Hollywood Fire/Rescue, Attn: Medical Records Custodian, 2741 Stirling Road, Hollywood, FL., 33312-6505.
    Attorneys or patients sending a payment include the account number/patient name.  Mail to City of Hollywood Fire/Rescue, Attn: Billing, 2741 Stirling Road, Hollywood, FL., 33312-6505.
    Hospitals, Medical Examiner, Police Depts. or other Govt. entities: contact Fire Rescue EMS Division 954.967.4248

Patients

Complete the Request for Disclosure of Health Information Form, mail to the address provided with a copy of the applicants photo ID, if applicable, a Power of Attorney, and a               copy of the Death Certificate.

    Billing
     Disputes, Statements, Hardship: 1-888-980-9234 / 1-888-317-2914 or email ClientSupportServicesMIA@digitechcomputer.com.