south elgin & countrysidefire protection district
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       Ambulance/EMS Reports & Billing

EMS Reports

To obtain a copy of an EMS/Ambulance Report please contact the South Elgin & Countryside Fire Protection District at 847-741-2141.

EMS or Medical Reports are restricted in disclosure in accordance with HIPAA.  In order to obtain a complete copy of a report you must demonstrate proof of the following:
  • You are the patient listed on the EMS Report. Picture ID is required and you must sign in person for the report after showing proper identification.
  • We are not permitted to fax an EMS Report.  This restriction is in place in order to comply with the HIPAA legislation.
  • If the patient is a minor,  you are the legal custodian of an elderly person, or other circumstance, you must provide legal documentation for our review.
  • An EMS Report may also be obtained by a court order, or by providing legal authorization through a law firm representing you as a client.
  • We are unable to release health information over the phone, by email, fax, or other electronic methods as these are unsecure networks that may be accessible to others.

To obtain more information regarding HIPAA, please visit the following link http://www.hhs.gov/hipaa/index.html

Ambulance Bills
Billing records are prepared and issued by the South Elgin Fire Protection District’s billing agent and requests for those records should be sent to:
  EMS MC
Account Representative Jennifer Young
(847) 305-5235
  • Home
    • Contact Us!
    • Did you know...
    • FREQUENTLY ASKED QUESTIONS
    • ISO Rating
    • SECFPD FOIA Officers
    • SECFPD OMA Officers
  • Boards
    • Board of Commissioners >
      • FULL TIME FIREFIGHTER LIST
    • Board of Trustees >
      • Agendas/Minutes
      • TRUSTEE MEETING DATES
    • Decennial Committee >
      • Purpose of Committee
      • Final Report, Agendas and Minutes
    • Foreign Fire Board
    • Pension Board
  • Employment
    • Full Time Firefighter Testing
    • Part-time Employment Opportunities >
      • SECFPD Part time application
      • Sponsorship Part Time Firefighter Academy
  • About SECFPD
    • Annual Report
    • Department Resources
    • District Map
    • EVENTS/PROMOTIONS
    • Firefighter of the Year
    • History of the Fire District
    • Photos
    • PRESS RELEASES
  • Services / Public Information
    • After the fire...
    • Ambulance/EMS reports
    • Baby Safe Haven
    • Battery Recycling
    • CPR PROGRAMS >
      • BLS Healthcare Provider CPR Classes
      • Heartsaver CPR Classes
    • Fire Life Safety Programs
    • FIRE PREVENTION BUREAU >
      • FIRE SAFETY TIPS
    • Fire Sign Replacement
    • Special Teams >
      • Dive And Swift Water Rescue
      • Fire Investigations
      • HAZMAT
      • Honor Guard
      • Technical Rescue Team
      • Water Rescue Search & Recovery
  • FINANCIAL REPORTS
  • Ordinances