Prehospital Care Report Requests

Prehospital Care Report (PCR) report by mail:

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

Prehospital Care Report (PCR) report by Email:

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