Between the Health Information Protection and Accountability Act (HIPAA) and F.S. 401.030, EMS/Medical Records, the release of the Ambulance Run Report is very limited. In general, the release of the ambulance run report is limited to the patient or upon written request of the patient.
Requesting Records in Person
Any patient can request copies of their Ambulance Run Report in person. It is suggested that the patient
calls the Records Clerk so that the records can be copied prior to the patient's arrival. Please give the
Records Clerk at least twenty-four (24) hours notice. The patient can then pickup a copy of the Ambulance
Run Report, during normal business hours, at:
112 Carswell Avenue
Holly Hill, FL 32117
The patient must have picture ID in order to pickup the records and will be required to sign for the records.
No medical information may be discussed with anyone, even the patient, over the phone. To request a copy of the Ambulance Run Report over the phone or via mail the request must be made in writing using the prescribed form. In order for this form to be accepted, it must be notarized as to the signature and accuracy of the statement.
Release to Law Enforcement or Other Non-Medical PersonThe patient's Ambulance Run Reports can not be release to law enforcement or other non-medical personnel without a subpoena, POA or Authorization to Release Medical Records signed by the patient. This includes Attorney's of Fact.
Patient is DeceasedIf the patient is deceased the release of the Ambulance Run Report is done in accordance with the State of Florida Estate Laws. This means that only the Personal Representative (PR) of the estate can obtain copies of the Ambulance Run Report. If there is no PR then authority for the release of the medical records are as following (in this order):
A Power of Attorney (POA) executed prior to the expiration of the patient is no longer valid once the patient expires. If their are no parents, then release of the Ambulance Run Report rests with the Probate Courts and a Court Appointed PR.
Incapacitated PatientA patient who is determined to be incapacitated and unable to give authorization for the release of the Ambulance Run Report may have the Ambulance Run Report Released to the guardian, POA, or Next-of-Kin in the following order:
For other circumstances in which your Ambulance Run Report can or can not be released, please see the company's Privacy Notice.