Obtaining a Copy of your Medical Records

To obtain a copy of your medical records from HVA, please download and fill out the Authorization to Release Medical Information form. The form can be returned to our Ann Arbor headquarters by mail, fax or email with a notarized signature.

Mail: Huron Valley Ambulance
Attn: Jennifer Hegarty
1200 State Circle
Ann Arbor, MI 48108

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Fax: 734-477-6776

 

If you would like to pick up your medical records in person, please fill out the authorization form and bring it to our Ann Arbor office along with your driver's license. Appointments for medical record pick-up can be arranged with Billing Administrative Assistant, Jennifer Hegarty.

Phone: 734-477-6366
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