The City of Helotes responds to EMS Report Requests within 15 business days of the initial request. A fee of $6.00 applies per EMS Report. A fee of $6.00 applies per affidavit. If applicable, additional fees for postage and supplies will also be assessed. The City Secretary’s Office will provide an itemized statement of charges to the requester. Payment and record retrieval is done at the Development Services (Permits) Department window inside City Hall.
EMS reports are only released to the individual within the report identified as the patient. Photo identification will be required to verify the patient’s identify when picking up the report.
If someone, other than the patient, will be picking up the report, then that individual must show a valid “Power of Attorney” or “Authorization Form” to allow the release of said records.
The City Secretary’s Office accepts written Fire/EMS Report Requests by the following methods:
Billing statement inquiries should be directed to the City’s billing agency, Emergicon Emergency Medical Billing, by telephone at 1-877-602-2060 from 8:00 a.m. and 5:00 p.m. CST. The online payment system can be accessed by visiting www.emerigcon.com.
Emergicon uses ChartSwap for billing records and billing affidavit requests. To submit this type of request, visit www.chartswap.com.
Review the Helotes Fire/EMS Protected Health Information Notice to learn how medical information may be used and disclosed. In addition, learn how patients can receive access to this information.
Helotes EMS Report Request Form
12951 Bandera Road
Helotes, Texas 78023