EMS Billing Information

How Emergicon Handles Medical Records

⚖️ For Attorneys & Law Offices

If you are unable to locate the ambulance provider in ChartSwap, we recommend contacting the provider directly.

Record Requests:
Submit all record requests via www.chartswap.com, listing the EMS agency as the Provider.

🧾 For Patients

Billing Inquiries:
 If you have questions about your bill, please contact:

Emergicon Customer Service
📞 Phone: 972-602-2060 ext. 1610

Medical Records Requests:
 To request medical records for a specific date of service, please complete the following form:
📄 Patient Records Request Form (PDF) 

Once completed, submit the form along with a copy of your driver’s license via one of the methods below:

• 📠 Fax (Secure): 800-608-9457
• 📬 Mail: PO Box 180446, Dallas, TX 75218
• 📧 Email: records@emergicon.com

Please ensure that both the completed form and a valid state-issued photo ID are included in your request.

🩺 For Transplant Coordination, Tissue Donation, Crash Investigation, or Texas Trauma Registry Reporting

If you are requesting records for purposes such as:

• Organ or tissue donation
• Crash reconstruction or investigation
• Texas Trauma Registry submissions
• Transplant coordination

A member of our medical records team will contact you shortly.

Please include the patient’s name, date of service, and any supporting documentation (if available) with your request.