Request Medical Records

How to Request Patient Medical Records

To request patient records you will need to submit ALL of the following items:

  • Notarized HIPPA release signed by the patient and notarized
  • Record Search Fee: $50 per date of service, payable to North Channel EMS
  • Patient Name, Address, and any other information to help find records
  • One date of service, no ranges

All items should be submitted together either in person or via mail. Incomplete requests will not be considered.

To speak to someone about your request, please call (713) 636-0900

Note: Billing record requests will need to go through Specialized Billing (281) 397-0397