Please fill out the Authorization for Disclosure of Medical Information form and send to:

City of Madison
Madison Fire Department
Attn: EMS Records
314 W. Dayton Street
Madison, WI 53703

RECORDS REQUEST

• Records are billed at $0.02 per side
• Color $0.07 per side
• Plus postage, if applicable
• No charge for emailed records or records totaling less than $0.50
• Location fee: only imposed if the cost of locating the records is $50 or greater.
• If the cost of the record(s) will be $50 or more, records custodian will request prepayment from requestor.