Fire Department
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Patient Requesting Personal Records

If you are a patient seeking his or her own patient care report, print this Patient Care Request Form (PDF) and carefully follow the instructions on the form, including the instructions for returning it by mail.

The Fire Department will make every effort to respond to your request as quickly as possible.  In most cases, you will receive a response within 10 working days.

If you are not a patient seeking his or her own report, choose the description that applies to you.

 Revised January 30, 2015

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