Patient Care Report Requests
Individuals requesting copies of patient care reports filed by Southern Chester County
Emergency Medical Services (SCCEMS) may only do so with the patient’s permission or via a
court order (subpoena) from a court with appropriate jurisdiction.
Billing invoices should be obtained from our billing vendor:
Arete Healthcare Services 100 West Commons Blvd, Suite 210 New Castle, DE 19720 Phone: 302.456.5725 ext.217 Fax: 888-456-3155 Email: lpc@aretehs.com
Essential Information
Requests for EMS records must contain the following information:
- Name of the patient
- Patient’s age and date of birth
- Date and approximate time of day of the paramedic response
- Address of the paramedic response
- Type of incident (motor vehicle crash, difficulty breathing, etc.)
The request for records should also include contact information for the requesting party in
the event further information is required to research the record.
What to Include
Requests for records must include the following items:
- An original copy of an Authorization for Release for Medical Records (PDF)
- Requests from individuals, whether the patient or an individual authorized by the patient, must include a photo copy of a government-issued picture identification of the requesting individual, such as a driver’s license. If the request is on behalf of a patient who has died, the requesting individual must provide documents of appointment as personal representative of the patient’s estate.
- Requests from law offices must include a letter of representation, to include a statement of whether Southern Chester County Emergency Medical Services, Inc. and/or the paramedics are anticipated as parties to any potential legal action. Requests that do not contain this information will not be processed.
- A $25 records fee payable to “SCCEMS”
Requests for patient care reports may be directed to:
EMS Records Custodian Southern Chester County EMS PO Box 8012 West Grove, PA 19390
Format of Request
SCCEMS only accept original copies of requests for patient care records. Faxes, electronically
sent requests or those missing any of the required items will not be processed.
Request Form:
Additional Information
If you should have further questions, please contact Southern Chester County Emergency
Medical Services at 610.910.3180