A patient, or his/her legal representative, may inspect and/or obtain a copy of their medical records. Acadian Ambulance requires a completed and signed Consent to Release Health Information form before releasing any documents to anyone, including the patient.
Print and complete the Consent to Release Health Information form. If you have issues with the fillable form document, click here to download a printable version of the form.
The release form must be completed, dated and signed.
Email form to:
MedicalRecords@acadian.com
Mail form to:
Acadian Ambulance Service, Inc.
P.O. Box 98000
Lafayette, LA 70509
Attn: Medical Records Dept.
Fax form to:
337.521.3641
Attn: Medical Records: Release of Information
Phone:
337.210.1759
In Person:
2916 N. University
Building G
Lafayette, LA 70507
Hours:
Monday – Friday, 8:00 a.m. – 4:00 p.m. CST
Closed on holidays
NOTE: You must have a copy of the medical records pre-payment invoice in order to make a payment.
If you have questions about this process, please feel free to email our Risk Management department at MedicalRecords@acadian.com or call 800-259-2222, Option 6 (local customers can call 337-210-1759).
If you have questions regarding your billing statement, please visit Acadian’s Patient Portal or call 337-291-4154.
© 2020 Acadian Ambulance Service. All Rights Reserved. Site Usage Privacy Rights | Site Designed by Firefly Digital
Acadian is an Equal Opportunity Employer/Affirmative Action Employer. Employment is based solely upon one’s individual merit and qualifications directly related to professional competence. We do not discriminate on the basis of race, color, religion, national origin, veteran status, ancestry, pregnancy status, sex, age, marital status, disability, medical condition, sexual orientation, gender identity or any other characteristics protected by law. We will make reasonable accommodation to meet our obligations under the Americans with Disabilities Act (ADA) and state disability laws.
If you are an individual with a disability who needs accommodation or you are having difficulty using our website to apply for employment, please contact Human Resources at 1-800-259-3333.
