EMS Medical Records Request
How Emergicon Handles Medical Records
For Attorneys & Law Offices
If you are unable to locate the ambulance provider in ChartSwap, we recommend contacting the provider directly.
Record Requests:
Submit all record requests via www.chartswap.com, listing the EMS agency as the Provider.
For Patients
Billing Inquiries:
If you have questions about your bill, please contact:
Emergicon Customer Service
Phone: 972-602-2060 ext. 1610
Medical Records Requests:
To request medical records for a specific date of service, please complete the following form:
Patient Records Request Form (PDF)
Once completed, submit the form along with a copy of your driver’s license via one of the methods below:
- Fax (Secure): 800-608-9457
- Mail: PO Box 180446, Dallas, TX 75218
- Email: records@emergicon.com
Please ensure that both the completed form and a valid state-issued photo ID are included in your request.
For Transplant Coordination, Tissue Donation, Crash Investigation, or Texas Trauma Registry Reporting
If you are requesting records for purposes such as:
- Organ or tissue donation
- Crash reconstruction or investigation
- Texas Trauma Registry submissions
- Transplant coordination
A member of our medical records team will contact you shortly.
Please include the patient’s name, date of service, and any supporting documentation (if available) with your request.