OPEN RECORDS REQUEST

Open Records Request Form

Sara Florence is the records custodian for Pendleton County Ambulance District.

Please download the request below and mail it in.

Mail to:

332 KY-330, Falmouth, KY 41040

Or Call:

Run and Billing Reports

ChartSwap is a secure medical records retrieval and exchange software. Anyone requesting records (law firms, insurance companies, courts, medical examiners, etc.) will go to the ChartSwap website. They will search for the name of the EMS provider and then upload/submit their request to the ChartSwap portal. ChartSwap will then forward the request to us immediately for processing. Once we have determined that all authorization requirements are met on the request, we will pull the records and upload them to ChartSwap. ChartSwap will then deliver the records directly to the requestor. 

Attorney’s offices etc. please register with link below.