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.
Patients Rescue Billing (disputes, statements, hardship): 1-888-980-9234 / 1-888-317-2914 or email ClientSupportServicesMIA@digitechcomputer.com.
Hospitals, Medical Examiner, Police Depts. or other Govt. entities: contact Fire Rescue EMS Division 954.967.4248
Attorneys requesting EMS Report/ Itemized bill. 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.
Show All Answers
Please visit the City Clerk’s records request section to request a copy of a fire report
All Fire Requests (actual fire call)
Go to the City of Hollywood’s website @ www.hollywoodfl.org to submit a Public Records Request:
The Division of Fire Prevention & Life Safety at (954) 967-4404 M-TH 7am - 5 pm. This office is closed on all legal holidays. If you need to report a fire code violation that is a serious life safety hazard outside the normal work hours call ‘911’ or (954) 967-HELP (4357).