League City EMS follows a strict policy to protect the privacy of your confidential patient information.


If you are a patient or a third party requesting a copy of a Patient Care Report (PCR), you will need to meet the following policies:

 

Request for Access Policy

 

You will only receive copies of documents in the designated record set (DRS)

 

Fees:

There is a $40 processing and record storage fee per record request. Fees must be paid in advance prior to mailing.

 

Please also see our HIPAA Privacy Information Page

Policies/Forms (PDF)

Request for Access Policy

Request for Access Form

Designated Record Set




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