EMS Report Requests

If you would like a copy of your EMS report, please complete the appropriate form below and email it to privacyofficer@norwichtownship.org.  If you need assistance with the form, please call (614) 876-7694 or email the Privacy Officer.  The Privacy Officer will return your call or email and guide you through the process.

We respect your privacy and we treat all health care information about our patients with care under strict policies of confidentiality that all of our staff are committed to following at all times.  (See our HIPPA information HERE)

Medical Records Requests

Patients - Click below:
Patient Access Form

Government Entity - Click below:
Agency Request Form
Fax request to (614) 876-3343
Email request to privacyofficer@norwichtownship.org

Attorney Offices:
Fax request to (614) 876-3343
Email request to privacyofficer@norwichtownship.org