Fire Rescue Department

1040 South Florida Ave.
Rockledge, FL 32955

(321) 633-2056

Fax: (321) 633-2057

Hours of Operation
Day Hours
Monday - Friday 8:00AM - 5:00PM
Saturday - Sunday CLOSED
Address and Phone

Fire Rescue Department

1040 South Florida Ave.
Rockledge, FL 32955

(321) 633-2056

Fax: (321) 633-2057

Hours of Operation
Day Hours
Monday - Friday 8:00AM - 5:00PM
Saturday - Sunday CLOSED

Brevard County Fire Rescue Medical Records Request Information

In order to request an EMS Patient Care Report from Brevard County Fire Rescue, the individual must provide the information indicated under the type of request:

Patient / Personal Representative

  • Request in written form, preferably notarized
  • Legible copy of requestor's drivers license or state photo ID, this includes picture being legible
  • Personal Representative must provide legal documentation such as Power of Attorney, Birth Certificate (for minors), death certificate, etc.
  • All requestors must sign a copy of the BCFR Authorization for Release of Medical Information Form

Attorney Offices

Please include a properly executed subpoena, or HIPAA release of information form signed by the patient or patient’s legal medical representative with appropriate witness signature.

Law Enforcement for Active Investigations

Please include a written request on official department letterhead for a specific incident or patient that is currently under an active investigation.

DCF

Please include a written request on official letterhead for a specific incident or patient that is currently under investigation.

Medical Examiner

Request must include a written request on official letterhead for a specific incident or patient.

RTI (Tissue Donation)

Request must include a written request on official letterhead for a specific patient and release documentation from the patient or personal representative.

Hospital

Request must be in written form on either official letterhead or via email for a specific patient from a recognized health care professional.

Brevard County logo

Brevard County Board of County Commissioners

2725 Judge Fran Jamieson Way Viera, FL 32940,
711 FLORIDA RELAY
(800)-955-8771

Under Florida law, e-mail addresses are public records. If you do not want your e-mail address released in response to a public-records request, do not send electronic mail to this entity. Instead, contact this office by phone or in writing.

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