Rehoboth Ambulance Committee, Inc
PO Box 156
Rehoboth, MA 02769
Phone: 508-252-2318
Fax: 508-463-0842

Documentation Requests

Rehoboth Ambulance will provide copies of run reports upon written request from the patient or authorized representative. There is a $25.00 administrative fee for each run report being requested.

To request a run report, please submit a written request to include the HIPAA Authorization Form, along with a check payable to "Rehoboth Ambulance Committee, Inc" for the administrative fee to our mailing address

Important Note: If you are a third party (e.g., attorney, insurance company) requesting a run report on behalf of a patient, a written authorization form the patient must accompany the request to allow us to release the run report to you.

Authorization to release HIPAA Information