EMS Record Request

Emergency Medical Service (EMS) records are protected under HIPAA and is considered to be Protected Health Information (PHI).  

PHI may be released only to a patient, to a party designated by the patient, or personal representative/guardian with patient consent or proof of guardianship.

To request an EMS Record, please fill out the Authorization for Release of Protected Health Information (PDF).

Please return this form and supporting documents to the Poway Fire Department:

MailIn PersonEmail

City of Poway
Fire Department
PO Box 789
Poway, CA 92074

Poway Fire Department
13050 Community Road
Poway, CA 92064

firedept@poway.org

Cost of record copies is 5 cents/page per the City of Poway fee schedule.