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Prehospital Care Report (PCR) Request

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:

  • Patient's Full Name
  • Patient's Date of Birth
  • Date of Service