top of page

REQUEST MEDICAL RECORDS/ePCRs

When a patient receives care from SFV-JTF emergency medical services personnel, an electronic patient care report (ePCR) is typically created. These records may be available to the patient and their legally authorized representative upon request.
In full compliance with HIPAA and applicable state and federal laws, the SFV-JTF follows strict protocols when handling requests for medical records or other protected health information (PHI). These regulations are in place to safeguard the privacy, civil rights, and confidentiality of all patients. As such, records can only be released to the patient, their legally authorized representative, or as otherwise permitted by law.

​

Requesting Medical Records


Patients or their authorized representatives may request copies of medical records by following the steps outlined below:

​

1. Complete the Authorization for Release of Protected Health Information Form

​

This form allows the SFV-JTF to verify that either:

  • The patient is authorizing the release of their confidential medical information, or

  • An authorized representative (such as a family member, caregiver, or attorney) has the legal right to act on the patient’s behalf.

 

To avoid delays in processing, please ensure that all required fields are completed and that any supporting documentation is included with your request.

  • If the patient is incapacitated or otherwise unable to sign, the representative must:

  • Indicate their relationship to the patient, and

  • Provide official documentation verifying their legal authority to act on the patient’s behalf.

 

Commonly accepted legal documents include:

  • Marriage Certificate

  • Death Certificate

  • Birth Certificate (for a minor patient)

  • Medical Power of Attorney or Advance Health Care Directive

​

2. Provide a Clear Photocopy of a Valid Government-Issued Photo ID

​

A high-quality copy of the signatory’s unexpired government-issued photo ID must be included. The ID must clearly display the photo and signature. The signature on the ID must match the signature provided on the Authorization for Release of Protected Health Information form. If there is any discrepancy, the request may be denied or delayed until a corrected form with a matching signature is submitted.

​

3. Submit the completed form and all supporting documentation to SFV-JTF EMS Records through:

​

  • Certified USPS Mail to the address listed on the bottom of the authorization form, or

  • Encrypted E-Mail to ems.records@sfvjtf.org

​

Questions regarding the release of medical records should be directed to SFV-JTF EMS Records via encrypted email. To ensure confidentiality and proper documentation of requests and/or conversations, the SFV-JTF does not handle or address EMS Record matters over the phone.

​

PLEASE NOTE: The SFV-JTF does NOT charge or bill for services rendered to a patient. There are no fees assessed with the request, preparation, or mailing of EMS records.

​

bottom of page