EMS Report Requests

EMS Patient Report Requests

The City of Helotes responds to EMS Report Requests within 15 business days of the initial request. A fee of $6.00 applies per EMS Report. A fee of $6.00 applies per affidavit. If applicable, additional fees for postage and supplies will also be assessed. The City Secretary’s Office will provide an itemized statement of charges to the requestor. Payment and record retrieval are done at the Development Services (Permits) Department window inside City Hall.

EMS reports are only released to the individual that is identified as the patient within the report. Photo identification will be required to verify the patient’s identity when picking up the report. If someone other than the patient will be picking up the report, then that individual must show a valid “Power of Attorney” or “Authorization Form” to allow the release of said records.

If you are seeking to obtain a fire-related report, please submit a Fire Incident Report Request.

How to Request an EMS Report

The City Secretary’s Office accepts written EMS Report Requests by the following methods:

  • Delivered in-person to City Hall located at 12951 Bandera Road, Helotes, TX 78023
  • Sent by postal mail to City of Helotes, City Secretary – Records Request, PO Box 507, Helotes, TX 78023
  • Emailed to the City Secretary
  • Faxed to 210-695-2123; Attn: City Secretary
  • Click here to download the Authorization Form. A completed form will need to be 1) submitted with a written request or 2) uploaded with the electronic Helotes EMS Report Request Form below.
  • Complete and submit the electronic Helotes EMS Report Request Form shown below.

EMS Billing Questions and Billing Statement Requests

Billing statement inquiries should be directed to the City’s billing agency, Emergicon Emergency Medical Billing, by telephone at 1-877-602-2060 from 8:00 a.m. and 5:00 p.m. CST. The online payment system can be accessed by visiting www.emerigcon.com.

Emergicon uses ChartSwap for billing records and billing affidavit requests. To submit this type of request, visit www.chartswap.com.

Privacy Notice

Review the Helotes Fire/EMS Protected Health Information Notice to learn how medical information may be used and disclosed. In addition, learn how patients can receive access to this information.

Helotes EMS Report Request Form

Click or drag a file to this area to upload.
See above for the link to access a copy of the Authorization Form.
Click or drag a file to this area to upload.
For example, a picture state ID or driver's license.

City Secretary

Celina PerezCelina Perez
City Secretary
Phone: 210-695-5911
Email City Secretary