The District of Columbia Fire and EMS Department (DCFEMS) provides this webpage for patients and patient representatives (family, friends or other parties, excluding attorneys) acting on the patient’s behalf to obtain medical records for patients treated by DCFEMS first responders and/or transported by ambulance. Requesting patient medical records requires verification of patient identity and (for patient representatives) your relationship to the patient. Patient representatives may be required to submit additional documents. For inquiries concerning patient medical records, or if you need direct assistance with submitting documents, including understanding the content of forms using a language other than English, have difficulty reading form information, or are unsure what to do, please call the DCFEMS information and privacy office at 1-202-673-3397 during normal business hours.

All patient medical record requests made by patients and patient representatives require payment of a five dollar ($5.00) fee prior to record release.

PATIENT MEDICAL RECORD SEARCHES

Information needed for patient medical record searches includes:

• Patient full (legal) name and/or other name that may appear on the record.

• Patient date of birth.

• DCFEMS invoice number and incident number (if known).

• Incident date.

• Incident time (approximate time of 9-1-1 call).

• Incident (pick-up and/or treatment) location.

• Name of transport destination hospital.

PATIENT REQUESTS

If you were the patient treated by DCFEMS first responders and/or transported by ambulance, you may submit a request for your medical record with a copy of your government issued photo identification and check or money order payment in the amount of five dollars ($5.00) to the address shown below. You may also submit your request by e-mail.

PATIENT REPRESENTATIVE REQUESTS

If you are a family member, friend or other party acting on the patient’s behalf, you may submit a request for the patient’s medical record with a check or money order payment in the amount of five dollars ($5.00) to the address shown below. You may be required to complete and submit a HIPAA or HITECH release form, signed by the patient, authorizing you to receive records on their behalf. This form will be provided to you by the DCFEMS information and privacy office after you submit a request. You may also submit your request by e-mail.

HOW TO SUBMIT REQUESTS

Please mail written requests for patient medical records including checks payable to the DC Treasurer to: