Emergency Medical Services

EMS Requests for Records

Requesting Medical or Billing Records

Requests for ambulance services can be submitted by form online or mailed directly to:

EDC EMS Agency

C/O Records Request

2900 Fairlane Court

Placerville, CA 95667

Before submitting a records request, please review below for required documentation.

Patient Records Request Fee Schedule(PDF, 198KB)
Request for Medical Information Authorization for Release of Information(PDF, 187KB)
Required attachments for requests - Signed Patient Authorization form indicating type of records requested, a copy of the patient/client's identification, Check or online payment receipt of fees.

Online Records Request

On-line Credit Card Payments*

Major Credit Cards Accepted

Govpaynet Cards Accepted

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