Billing Inquiries & Medical Records Request

If you have questions about your bill, please contact:

Emergicon Customer Service

Phone: 972-602-2060 Ext. 1610

To request medical records for a specific date of service, please complete the Patient Records Request Form below. Once completed, submit the form along with a copy of your driver's license via one of the following methods:

• Secure Fax: 800-608-9457
• Mail: PO Box 180446, Dallas, TX 75218
• Email: records@emergicon.com

If you have a complaint about the services you have received from this EMS Provider, or to contact Eagle Mountain Emergency Medical Services regulatory authority, please contact the Texas Department of State Health Services at:

1-800-452-6086, or by email to EMS_Complaint@dshs.texas.gov