EMS Report Requests

EMS Patient Report Requests

The City of Helotes responds to EMS Report Requests within 15 business days of the initial request. A fee of $0.10 per page applies to all EMS Reports. A fee of $6.00 applies to affidavits. 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.

How to Request a Report

The City Secretary’s Office accepts written Fire/EMS Report Requests by the following methods:

• Delivered in-person to City Hall located at 12951 Bandera Road
• Sent by postal mail to City of Helotes, City Secretary – Records Request, PO Box 507, Helotes, TX 78023
• Emailed to the City Secretary
• Faxed the request to 210-695-2123
• Click here to download the Authorization Form. A completed form will need to be uploaded when submitting the electronic Helotes EMS Report Request Form below.
• Complete and submit the electronic Helotes EMS Report Request Form shown below.

EMS Billing or Payments

Questions and billing statement inquiries should be directed to the City’s billing agency, Emergicon Emergency Medical Billing, by telephone at 877-602-2060 from 8:00 a.m. and 5:00 p.m. CST. The online payment system can by accessed by visiting www.emerigcon.com.

Privacy Notice

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