To request a Prehospital Care Report by mail, complete the Authorization For Release of Health Information Pursuant to HIPAA (OCA Official Form No.: 960). The form can be found here.
Mail to:
Patchogue Ambulance Company
Attn: Records Request
336 West Main St.
Patchogue, NY 11772
To request a Prehospital Care Report by Email, complete the Authorization For Release of Health Information Pursuant to HIPAA (OCA Official Form No.: 960). The form can be found here.
Please Email to: pacdistrictsecretary@gmail.com