If you have questions regarding your ambulance bill, please contact our third-party billing company, Emergicon, at 877-602-2060 or on their website.
Medical and Billing Records Requests
- Attorney requests must be submitted through Chart Swap with the County of Wise / Wise County EMS service as the Provider.
- Non-attorney requests may submitted in any of the following ways:
- Download, complete, and submit a Patient Records Request Form (please note that following this link will take you to a third party website)
- Fax the request (secure and direct) to 800-608-9457
- Email Emergicon with general information and you will receive a secure email to use for the PHI details. DO NOT EMAIL RECORDS REQUEST FORMS TO THIS EMAIL.
- Mail the request to PO Box 180446, Dallas, TX 75218.
- For assistance call 972-602-2060 ext. 1611