EMS Ambulance Billing & Medical Records Inquiries
For ambulance billing inquiries, please contact the following:
Phone: 1-888-987-2713 *For ambulance service dates before September 2021
Phone: 1-855-313-5985 *For ambulance service dates after September 2021
EMS Hawaii Dept. of Health
P.O. Box 844502
Los Angeles, CA 90084-4502
2023 Ambulance Fee Increase – View the current ambulance fee rates.
UPDATE: For ambulance service on Oahu AFTER June 30, 2022:
Please contact the City & County of Honolulu’s Dept. of Emergency Services for billing or medical records requests.
Phone: 1-808-501-0541 or 1-808-723-7980
Email: [email protected]
City & County of Honolulu
Dept. of Emergency Services
Custodian of Records
3375 Koapaka St., Ste. H450
Honolulu, HI 96819
TO REQUEST COPIES OF YOUR EMS RECORDS FOR THE NEIGHBOR ISLANDS:
Please download, print, and complete the Authorization for Use or Disclosure of Protected Health Information form. Forms must be signed by the patient, legal representative, or legal guardian. Please also attach a copy of a government-issued picture ID. If you are not the patient, please include legal documents showing your authority to request medical records. If you have any questions, please call (808) 733-9210.
You may send your request form and documents via fax to: 808-733-8332
Email to: [email protected]
Or mail to: State of Hawaii EMS Branch
Leahi Hospital – Trotter Building
3675 Kilauea Avenue
Honolulu, HI 96816
Emergency Medical Services Notice of Privacy Practices – View/save a copy of our form.