Ambulance Services and Records Requests
In case of an emergency call 911
Request for Records
To request medical or non-medical records complete the records request form below and e-mail it to Fire@gjcity.org.
Fee: $.25 per sheet
Records Request Form
Medical Record Requests: Parents may request information on behalf of their minor children. As well as a request on behalf of another adult can be processed with a notarized statement of consent from the patient to the requesting party.
- Attorney request for patient records can be processed with a notarized consent from the patient to the Attorney.
- All requests require a completed and signed record request form and a copy of your photo ID.
- Requests should be made at Fire Administration (625 Ute Avenue) if not made in person all signatures are required to be notarized.
Ambulance Billing Contact Information
||625 Ute Avenue, Grand Junction, CO 81501
||Monday - Friday, 8am to 5pm
|Non-Emergency Ambulance Dispatch:
|Sheldon Kier - Medical Services Chief
|Danni Ferguson - Finance Technician
|Billing Questions - Wittman Enterprises
Non-Emergency Transport Forms
Needed Non-Emergency Transport Request Forms
Non-Emergency Ambulance Dispatch: 970-242-6707
* In case of an emergency call 911