Please contact Robert Bebout via email at RecordsAndMonies@BloomsburgEMS.org if you have any questions or concerns about accessing this downloadable file. Please note: You have the right to request documents that involve your care. You have the right to request a Notice of Privacy Practices be mailed in a paper form with large accessible print or standard print. Such requests can be made via RecordsAndMonies@BloomsburgEMS.org. We are dedicated and bound by law to protect your Personal Information under The Health Insurance Portability and Accountability Act of 1996
Request for Records can be mailed to listed address. Alternatively for faster processing, please forward completed form with necessary documents to firstname.lastname@example.org. Please allow reasonable time for this request to be processed.