Incident Report Request Form

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Request a Copy of an Incident Report

Please complete the Incident Report Request Form and return to Fire Administration via fax or mail as noted below. Allow 10 days for processing. 

Fax: 949-644-3120

Mailing Address:
Newport Beach Fire Department
100 Civic Center Drive
Newport Beach, CA 92660 

Request for Medical Records 

For release of medical records only, valid identification provided in person by the patient is required. If someone other than the patient is requesting copies of medical records, a "medical records release form" is required to be signed and dated by the patient or a subpoena must be issued. If the patient is deceased, a copy of the death certificate must be provided by the legal beneficiary or personal representative as listed on the patient's estate or will. Medical records cannot be emailed or faxed as electronic transmission is not secure. These measures are taken for compliance with patient confidentiality and HIPAA regulations.

For questions, please call Fire Administration 949-644-3355.

 

 

 

~ Safety, Service, and Professionalism ~ 

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