PCR Request
PCR by Mail
To request a Patient Care Report (PCR) by mail, please follow the directions below:
Bay Shore Brightwaters Rescue Ambulance
Attention: Laurie Hughes-Records Request
911 Aletta Place
Bay Shore, NY 11706
- Completed Authorization For Release of Health Information Pursuant to HIPAA (OCA Official Form No.: 960). The form can be found here.
- Mail to:
Bay Shore Brightwaters Rescue Ambulance
Attention: Laurie Hughes-Records Request
911 Aletta Place
Bay Shore, NY 11706
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