Incident Report Request Process and Form

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Request an Incident Report or Learn How to Obtain Medical Records

Incident reports are available to individuals directly affiliated with the incident for a fee of $27.00. To request a report, please complete the form below.

For any questions, please contact the Administrative Office at 916.933.6623 or email our Incident Reports Specialist.

Incident Reports do not include medical records. Medical information is documented separately in a Patient Care Report (PCR).

To request a Patient Care Report (PCR), please contact El Dorado County EMSA (Ambulance Billing) for assistance:

  • For medical records related to an incident after January 2020, call 1.800.906.6552 or email your request to records@webillems.com.

  • For records related to an incident prior to January 2020, call 530.621.7561 and leave a message, or submit your request through ChartSwap by calling 1.800.906.6552.

  1. To receive a copy of your submission, please fill out your email address below and submit.

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