REQUIRED DOCUMENTATION FOR MEDICAL RECORDS

A Medical Records Request Form is required when you are requesting copies of medical records or asking that we disclose your health information to third-parties.

To request medical records from Care Ambulance, you have the option of completing the digital form below, or printing the form and mailing it to us.

You can also call (334) 386-3806 during normal office hours to complete the request.

Digital Form Option