PCR by Mail
To request a Patient Care Report (PCR) by mail, please follow the directions below:
- Completed Authorization For Release of Health Information Pursuant to HIPAA (OCA Official Form No.: 960). The form can be found here.
- Mail to:
East Moriches Community Ambulance
P.O. Box 295
East Moriches, NY 11940
PCR Online
To request a Patient Care Report (PCR) online, please follow the directions below:
- Completed Authorization For Release of Health Information Pursuant to HIPAA (OCA Official Form No.: 960). The form can be found here.
- Upload the form below.