Patient Care Report and Itemized Billing Statements
Select if you are an Attorney or a Patient
In an effort to streamline the process of Patient Care Report requests and enhance the Kansas City Kansas Fire Department’s ability to provide excellent customer service, the Department has now contracted with ChartSwap to fulfill requests.
ChartSwap is a HIPPA compliant platform launched to facilitate electronic medical and billing record exchange between medical providers and law firms, and other requesting parties. It’s free to register and requestors can use ChartSwap to request, track, pay for and download records.
How to Request Patient Care Reports:
If you have any questions, please contact ChartSwap at (855) 879-7927.
Patient may request a copy of their Patient Care Report and Ambulance Billing Record by completing the Request for Inspection or Copy of Health Information, provide photo I.D. and payment fee. NOTE: It is the responsibility of the requestor to provide incidents number(s) for patient records prior to 2017. Bring in person to the Kansas City Kansas Fire Department Monday through Friday, 9 a.m. to 4 p.m.
INFORMATION TO BRING WITH YOU
Address of the Incident to include City/State
Date of the Incident
Date of Birth
Death Certificate (when applicable)
Name (alias, forename, hyphenated, maiden, married, etc.)
Release of Authorization signed and notarized
Social Security Number
Check Payable to Wyandotte County Treasurer
Address Envelope to:
Kansas City Kansas Fire Department
Attention: Medical Records
815 No. 6th Street
Kansas City, KS 66101
PAYMENT FEES (cash – personal check – money order – cashier’s check)
Patient Care Report and Itemized Billing Statement – $5.00
Patient Care Report (only) – $5.00
Itemized Billing Statement (only) – No Charge