EMS Ambulance Billing & Medical Records Inquiries
For ambulance billing inquiries, please contact the following:
State of Hawaii EMS Services
P.O. Box 844502
Los Angeles, CA 90084-4502
2020 Ambulance Fee Increase – View the current ambulance fee rates.
To request copies of your EMS records:
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 fax your request form to (808) 733-8332,
E-mail your form and documents to: [email protected]
or mail to:
State of Hawaii EMS Branch
Leahi Hospital – Trotter Building
3675 Kilauea Avenue
Honolulu, HI 96816
2018 EMS NPP – View/save a copy of our Notice of Privacy Practices