Anyone requesting a patient care report or patient bills from us must either:
- Come to the PCFD administrative office in person with their ID to prove identity (if they are the subject of the record).
- Have the form notarized if they cannot come in person (again, only if they are the subject of the record).
- Have a valid, notarized power of attorney if they are requesting a copy of a patient care report or patient bills for someone other than themselves.
- Be a legal representative of the patient and send a HIPAA release form from the patient with their records request.
In some cases, PCFD may charge a fee for copies of records.
Completed forms should be emailed to dcolgan@pcfd.org.
Questions? Please Call (435) 940-2511
Requester Information
All members of the organization have been trained on patient privacy or the Health Insurance Portability and Accountability Act (HIPAA) requirements and will strictly adhere to those standards. Click here for a copy of the HIPAA Notice of Privacy Practices.
Utah State Code: 63G-2-202. Access to private, controlled, and protected documents.
Records containing protected health information as defined in 45 C.F.R., Part 164, are governed by HIPAA (the Health Insurance Portability and Accountability Act) are not subject to GRAMA.
45 C.F.R., Part 164: Standards for Privacy of Individually Identifiable Health Information
A copy of this information should be retained for future reference. If you have any questions, please contact the Park City Fire District Office by calling 435-940-2511 8:30 a.m. – 4:30 p.m., Monday through Thursday.