Request EMS Report

You can request an Emergency Medical Services (EMS) report or health record by completing a Health Insurance Portability and Accountability Act (HIPAA) Privacy Authorization Form. Please note, receiving these records requires a notarized signature.

Once the above form is completed, use the link below to make your request:

  • Step 1: Click Here to Access Online Data Request
  • Step 2: Select "Submit a Data Records Request"
  • Step 3: Select "Fire/Emergency Medical Services Requests"
  • Step 4: Select Either "Fire Request" or "Emergency Medical Services (EMS) Request
  • Step 5: Choose to Create an Account OR Submit Anonymously
  • Step 6: Follow form instructions and upload notarized "HIPAA Privacy Authorization Form"

Please contact Fire Department Administration with questions via email or at 952-895-4570. View the Burnsville Fire Department Notice of Privacy Practices.