Ambulance Billing / EMS Records

Ambulance Billing / Records

For information on ambulance billing for emergency medical services, please contact Emergicon at 877-602-2060, ext 411.

EMS Medical Records

To request a copy of your EMS medical records, contact our third-party billing partner, Emergicon, using the following steps:

1. Complete the Patient Records Request Form 
2. Submit the form with ID: Include a copy of your valid state-issued photo ID and submit via one of these secure methods:
   • Fax: 800-608-9457
   • Mail: PO Box 180446, Dallas TX 75218
   • Email
3. For questions, contact Emergicon Customer Service at 972-602-2060 ext.1610

Note: Ensure that both the completed form and photo ID are included to avoid processing delays.

• How do attorneys or law offices request EMS medical records?
• Attorneys and law offices should submit a record request via Chartswap, listing the EMS agency as the provider.
• For more information to file a complaint regarding EMS Care or Service, please see
• Medical Records Request and Complaints Information Sheet

Privacy Statement

Fire Departments are required to provide the following privacy statement in accordance with HIPAA. Please contact the Fire Department Privacy Officer at 972-919-2640, if you have any questions or complaints regarding this. Read the Farmers Branch  Fire Department Provider Privacy Statement (PDF)  .