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General Inquiry Form                                             Recruitment Inquiry Form

Requesting medical records from Tri-Community Ambulance Service, Inc.

If Tri-Community Ambulance Service, Inc. provided care for you or a loved one, and you now need a copy of their medical records, we would be happy to assist you with your request. Tri-Community will need a few things from you to ensure we are compliant with the law and protecting your privacy. If you are requesting medical records for yourself, we will have a HIPAA release form for you to take to a notary public and properly complete. This ensures we are not releasing your records in violation of any laws. If you are attorney represented, your attorney will guide you through the process. You can learn more about HIPAA compliance by clicking here.

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Thank you for your online medical records request.
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