How do I request a copy of my medical report?

Complete the Request for Disclosure of Health Information Form, mail to the address provided with a copy of the applicants photo ID, if applicable, a Power of Attorney, and a copy of the Death Certificate.

Billing Disputes, Statements, Hardship 

Change Healthcare Office: 1-800-226-1012 Fax: 305-591-4660

Hospitals, Medical Examiner, Police Depts. or other Govt. entities: 

Contact Fire Rescue EMS Division 954.967.4248



City of Hollywood Fire/Rescue

Attn: Medical Records Custodian

2741 Stirling Road, Hollywood, FL., 33312-6505


Payments for EMS Transport, Mail to Billing Lockbox

City of Hollywood & Beach Safety Department

P. O. Box 947121

Atlanta, GA 30394

Show All Answers

1. How do I obtain a copy of a Fire Incident or Fire Inspection Report?
2. How do I request a copy of my medical report?
3. How do I become a Florida certified Firefighter?
4. How do I become a Florida certified EMT/Paramedic?
5. Does the Hollywood Fire Department teach CPR?
6. Who do I contact to report a fire code violation at a business or other occupancy?
7. Who do I contact for a problem with a fire hydrant?
8. Does Hollywood Fire Department participate in telephone solicitation?