Emergency Medical Services (EMS) Patient Medical Records and/or Medical Billing Records
Coppell Fire Department outsources ambulance billing records to Emergicon Emergency Medical Billing. If you have any questions regarding your bill, please contact Emergicon at 877-602-2060.
To request medical records, please download, complete, and submit the Emergicon Patient Records Request Form.
• Fax the request (secure and direct) to 800-608-9457
• Mail the request to PO Box 180446, Dallas, TX 75218
• To email a request, we need to create a secure, encrypted email channel to receive your form. Please email email@example.com with general information that you need to request records, and you will receive a secure email from us to use for the request process. Please do not send the completed request form using this email.
• Call 972-602-2060 ext. 1611 if you need help. Se habla Español.
If you are an attorney, please submit your request via www.chartswap.com with the EMS service as the Provider.