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East Allen EMS
East Allen EMS
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    • Home
    • About Us
      • Officers / Radios
      • Apparatus
      • Board members
    • Membership Application
    • Services
      • Ambulance Services
      • Subscription
      • Fundraising
      • Ambulance Billing
      • EMS Medical Record
      • Training
    • Contact Us
    • About Us
  • Home
  • About Us
    • Officers / Radios
    • Apparatus
    • Board members
  • Membership Application
  • Services
    • Ambulance Services
    • Subscription
    • Fundraising
    • Ambulance Billing
    • EMS Medical Record
    • Training
  • Contact Us
  • About Us

requests for medical records

To request a Medical Record

East Allen EMS does not release any medical records without proper authorization and documentation. To request a medical record, please fill out the downloadable form below.

Downloads

medical request form (pdf)

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