PCR Request

PCR by Mail

To request a Patient Care Report (PCR) by mail, please follow the directions below:

1. Completed Authorization For Release of Health Information Pursuant to HIPAA (OCA Official Form No.: 960). The form can be found here.
2. 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:

1. Completed Authorization For Release of Health Information Pursuant to HIPAA (OCA Official Form No.: 960). The form can be found here.
2. Upload the form below