PHI Web Site Release Instructions

Law Firms and Insurance Companies requesting Medical and Billing Records

Effective June 2014, per our legal counsel, South Metro Fire Rescue (SMFR) enacted a new policy and will no longer accept signed releases other than SMFR’s Authorization to Release Protected Health Information (PHI) form. The Medical Records Authorization Form should be used for all requests for medical records, including billing records, transport reports, and the like; please contact the EMS Bureau at the number below with any questions.

Please accept our apologies for any inconveniences caused by this policy.

EMS Bureau Main line 720-989-2310

The completed and executed SMFR Authorization Form, along with a letter if legal representation for your client can be sent to our direct fax line at 720-989-2110. 

Patients Requesting Medical Records

Please fill out and sign SMFR’s Medial Release Form, a readable copy of your Driver License is also required to process your request.

The completed form and Driver License can be either emailed or faxed back to us at 720-989-2113 or Merilee.james@southmetro.org

*If you are requesting medical records for a deceased family member please call us at 720-989-2310 for information on obtaining these records*.

A Copy of the SMFR Authorization Form can be downloaded by clicking the link below. 
  
 SMFR Authorization Form