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 or email clientsupportservicesMIA@r1rmc.com
Hospitals, Medical Examiner, Police Depts. or other Govt. entities: contact Fire Rescue EMS Division 954.967.4248
Rescue Transport Report/Billing Requests for Attorney: Request online via Chartswap@www.chartswap.com; Atty. follow up with online requests through Chartswap @ 1.888.980.9234
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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).