Contact

EMS Records/Billing

Third Party Requester

I am an attorney or third party, how do I request a patient's medical records or check the status of a request?
- To submit or check the status of a request CLICK HERE
- Or Call 847-577-8811 ext. 207

Death Investigation

Law enforcement agency, medical examiner, or coroner's office requesting medical records due to death investigation or other covered legal matter?

- Call 847-810-3867

Patient/Authorized Representative

How do I make a payment? 
- Call 877-618-0943 
- Online payment CLICK HERE
- Checks may be mailed to The City of Lake Forest at PO box 457, Wheeling, IL 60090
How do I update my insurance information?
- Call 877-618-0943
- Update online CLICK HERE
How do I obtain a copy of my personal medical records?
- Patients may visit the Public Safety Building to obtain a copy of their EMS records.
- A valid phot ID must be presented.
- Please call 847-810-3867 ahead to coordinate a time.

How do I obtain a copy of medical records for a family member?

- Visit the Public Safety Building to obtain a copy of EMS records.
- A valid phot ID must be presented.
- Please call 847-810-3867 ahead to coordinate a time.
- If you are the legal authorized representative of a patient, valid proof is required (e.g., medical power of attorney).
- If the patient is living but incapacitated with no authorized representative, valid proof of patient’s state is required, however, release of records is not guaranteed.
- If the patient is deceased and you are not the decedent's appointed representative, valid authorization for the release of records signed by the appointed representative of the decedent's estate in accordance with (735 ILCS 5/8-2001.5) is required. Proof of appointment as representative of the decedent's estate must also be provided.
- If the patient is deceased with no appointed representative to the decedent's estate, an authorized relative in a accordance to (735 ILCS 5/8-2001.5) may complete the Authorized Relative Certification to obtain patient records.


*Andres Medical Billing, LTD. is the department's authorized ambulance billing provider.*
Patient privacy is our priority. To learn more about health information privacy and HIPAA, visit HHS.gov
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