Incident Requests

To request a copy of an incident report, please complete the Incident Report Request form and return by mail to: 

Sierra Madre Fire Department
242 W. Sierra Madre Blvd.
Sierra Madre, CA 91024

A valid photo ID is required for release of medical records.  If a party other than the patient is requesting copies of medical records, an Authorization for Release of Protected Health Information is required to be signed and dated by the patient or legal guardian; or a court ordered subpoena must be issued prior to releasing copies of medical records.

An Incident Report fee  must accompany each request. Fees can be found in the City's current Fiscal Year Fee Schedule. All fees must be in the form of check or money order payable to the City of Sierra Madre.

For billing records, please send written requests to:

City of Sierra Madre EMS
PO Box 269110
Sacramento, CA 95826-9110

www.webillems.com

Additional fees may apply.