Attorney Request: If you are an attorney, please submit your request via www.chartswap.com with the EMS service as the Provider.
Non-Attorney Request: To request medical records, please download, complete, and submit the Emergicon- Patient Release for Medical Records Form, located on the top right corner of this page.
Fax the request (secure and direct) to 800-608-9457
OR
Mail the request to PO Box 180446, Dallas, TX 75218
To email a request, we need to create a secure, encrypted email channel to receive your form. Please email records@emergicon.com with general information that you need to request records, and you will receive a secure email from us to use for the request process. Please do not send the completed request form using this email.
Call 972-602-2060 ext. 1611 if you need help. Se habla Español.