If a copy of a PCR is being requested as part of an official investigation, the requestor must produce either a judicial subpoena from a court having competent jurisdiction, or a signed and notarized release from the patient.
A person may request a copy of a PCR completed for themselves as the patient, or the parent or legal guardian of a patient may obtain a copy of a PCR completed for that patient by producing a signed and notarized release form on behalf of the patient.
Click here for the HIPAA Release Form.
Please mail the request to:
Scarsdale Volunteer Ambulance Corps
P.O. Box 92
Scarsdale, NY 10583
Be sure to include: