Request Ambulance Records

Step 1: A signed authorization is required in order for Maplewood EMS to release private health information. You can download the forms below; Maplewood EMS will only accept the following two forms of authorization:

Step 2: Print the authorization form. The authorization form must be completed and signed with an original signature and also must be attached to your request.
    Email, fax or in person:
    Maplewood EMS
    Attention: Medical Records
    1955 Clarence St
    Maplewood, MN 55109

    Fax: (651) 249-2809 (Attn: Medical Records)