How do I request a copy of my medical report?

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 Accounts (disputes, statements, hardship) before DECEMBER 31,2021

1-888-980-9234 / 1-888-317-2914 or email ClientSupportServicesMIA@digitechcomputer.com.

Patients Rescue Billing Accounts (disputes, statements, hardship) after DECEMBER 31, 2021: 

Change Healthcare office: 1-800-226-1012 fax: 305-591-4660.

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 OR to only request BILLING records www.ChartSwap.com and use HOLLYWOOD EMS.

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

1. How do I obtain a copy of a Fire Incident or Fire Inspection Report?
2. How do I request a copy of my medical report?
3. How do I become a Florida certified Firefighter?
4. How do I become a Florida certified EMT/Paramedic?
5. Does the Hollywood Fire Department teach CPR?
6. Who do I contact to report a fire code violation at a business or other occupancy?
7. Who do I contact for a problem with a fire hydrant?
8. Does Hollywood Fire Department participate in telephone solicitation?