EMS/Medical Report

An EMS Report is only available to the patient. EMS Records are considered to be private and confidential. 

A copy of a patient care report is only available to the patient, assigned representative, parent/guardian, Medical Power of Attorney, executor or administrator of the patient's estate, and/or the Next of Kin listed on a Death Certificate. EMS Records are considered to be private and confidential. The information in a patient care report is protected under the Health Insurance Portability and Accountability Act (HIPAA). In order to release this information, we must have a completed medical authorization form(PDF, 679KB). Proper documentation must be included with your request:

• If you are the patient, in person photo ID or a notarized medical authorization form(PDF, 679KB)
• If you are the assigned representative, the medical authorization form(PDF, 679KB) with yourself listed in the authorization section. This form must be notarized.
• If you are the parent/guardian of the patient who is a minor, medical authorization form(PDF, 679KB) along with a copy of the birth certificate or insurance card that lists both the parent/guardian and the child.
• If you are the patient's Medical Power of Attorney (POA), medical authorization form(PDF, 679KB) and a complete copy of the POA.
• If you are the executor or administrator of the patient's estate, medical authorization form(PDF, 679KB) and a copy of that document.
• If you are the Next of Kin, medical authorization form(PDF, 679KB), a copy of the Death Certificate with the Next of Kin listed (must be same person who is obtaining report), your photo ID.

You may receive the EMS report through one of the following:

• Email - Email the notarized request to EMSRecordRequest@columbus.gov
• Mail - Mail the notarized medical authorization form(PDF, 679KB) to 3639 Parsons Ave., Room 113, Columbus, Ohio 43207
• FAX - Fax the notarized medical authorization form(PDF, 679KB) to (614) 645-6332
• In person – Bring in or fill out the medical authorization form(PDF, 679KB) to 3639 Parsons Ave., Room 113, Columbus, Ohio 43207

Please Review the following documents:

• Columbus Division of Fire Notice of Privacy Practices
• Authorization for Use and Disclosure of Protected Health Information(PDF, 225KB)

To have your report ready, please call our office first at 614-645-7384 opt. 2. There is no charge for this report.

Please call (614) 645-7384 opt. 2 or email EMSRecordRequest@columbus.gov with any questions.

EMS Records Contact Information

Address: 3639 Parsons Avenue Room 113 Columbus, Ohio 43207
Email: EMSRecordRequest@columbus.gov
Phone: (614) 645-7384 opt. 2
Fax: (614) 645-6332

If the service date was on or after April 1st, 2026, please contact EMS/MC to submit the billing request.   

• Patients can log in to https://emsmc.com/patient-portal/ for account information.
• Attorneys are encouraged to submit their billing requests through ChartSwap.com.
• Phone: 866-963-7952
• Fax: 336-740-9773
• Email: einfo@emsbilling.com
• Mailing address to request information: EMS Management & Consults, Inc., PO Box 863, Lewisville, North Carolina 27023
• Mailing address to submit payments: City of Columbus, PO Box 78000, Dept. 781182, Detroit, Michigan 48278 

All payments can be sent to:

Frequently Asked Questions