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Patient Records Request 


How do you request medical records from Tri-Community Ambulance Service, Inc?


If Tri-Community Ambulance Service, Inc. provided care for you or a loved one, and you now need a copy of their medical records, we would be happy to assist you with your request. Tri-Community will need a few things from you to ensure we are compliant with the law and protecting your privacy. If you are requesting medical records for yourself, we will have a HIPAA release form. This ensures we are not releasing your records in violation of any laws. If you have an attorney, they will guide you through the process. 



ALL records requests must be mailed to us. Our mailing address is: 


Tri-Community Ambulance Service, Inc. 

Records Request 

PO Box 241 

Sanborn, New York 14132 

Click here to get a copy of the NYS Medical Records Release form 

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