To obtain a copy of your EMS report, please complete the Authorization For Release of Medical Information form. Once you have completed and submitted the Authorization For Release of Medical Information form, our medical/legal custodian of records will contact you to confirm your identity and retrieve any additional supporting documents needed to process the request. Please note reports may be delayed if they are awaiting completion or missing information.
Required fields are marked with an asterisk (*).
All incident report requests are processed within 7 business days upon receipt. It is our policy to fulfill record requests within 10 business days of the incident date. The department may require additional time to process more difficult requests and if so, an estimated time frame will be provided to the requestor.
Photo I.D. required for pick up
Medical Records RequestEMSMedicalRecordsRequest@BrevardFL.gov
Location1040 South Florida Ave.Rockledge, FL 32955
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