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Requesting Records

All ambulance transport or billing records requests must include the following:

1.  Patient’s name
2.  Date of incident
3.  Appropriate Authorization (see information below)
4.  A processing fee of $5.00 (make check out to “COMM Fire”)

Send records requests to:
COMM Fire Department
Records Requests
1875 Falmouth Road
Centerville, MA  02632

For Ambulance billing inquiries please contact Coastal Medical Billing.
Phone: 
(508) 476-9740
Address: 
Coastal Medical Billing, 9 Main Street, Sutton, MA 01570

Authorizations
Due to HIPAA (Health Insurance Portability and Accountability Act of 1996) restrictions, it is necessary BY LAW that all records requests, of any type, be accompanied by a completed Authorization to Obtain/Release Confidential Information (“Authorization”.) The Authorization MUST contain certain types of HIPAA-approved language and the appropriate signatures.  Please click on the following link to be directed to an acceptable Authorization form.

  • Prudential Committee Shadows

    Prudential Committee

  • COMM Water Shadows

    Comm Water Dept

  • COMM Fire Rescue Shadows

    Comm Fire Rescue