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:
 
                                                                        Andres Medical Billing, Ltd.
                                                                        3343 North Ridge Avenue
                                                                        Arlington Heights, IL  60004

                                                                        (847) 577-8811
  • Home
    • Did you know...
    • Contact Us!
    • ISO Rating
    • Employment Opportunities >
      • SECFPD Part time application
    • SECFPD OMA Officers
    • SECFPD FOIA Officers
    • FREQUENTLY ASKED QUESTIONS
  • Keep the Wreath Red
  • About SECFPD
    • Department Resources
    • History of the Fire District
    • Photos
    • EVENTS/PROMOTIONS
    • Full Time Firefighter Testing >
      • PRESS RELEASE Full Time Firefighter Testing
      • Full Time Firefighter Testing Process & Information
      • Full-Time Firefighter Application
    • PRESS RELEASES
  • Services / Public Information
    • FIRE PREVENTION BUREAU >
      • FIRE SAFETY TIPS
    • Juvenile Fire Setter Intervention Program
    • Fire Sign Replacement
    • CPR PROGRAMS >
      • Heartsaver CPR Classes
      • BLS Healthcare Provider CPR Classes
    • After the fire...
    • Ambulance/EMS reports
    • Battery Recycling
    • Fire Life Safety Programs
    • Special Teams >
      • Dive And Swift Water Rescue
      • HAZMAT
      • Honor Guard
      • Technical Rescue Team
      • Water Rescue Search & Recovery
  • New Station 21 and Station 23
  • Boards
    • Board of Trustees >
      • TRUSTEE MEETING DATES
      • Agendas/Minutes
    • Board of Commissioners >
      • FULL TIME FIREFIGHTER LIST
    • Pension Board
    • Foreign Fire Board
  • Annual Reports
  • New Page