Requesting Medical Records

Your Privacy Comes First

Acadian Companies takes the privacy of our patients very seriously. To ensure that Acadian Companies fully complies with federal privacy laws and regulations, if any patient or anyone other than the patient (including spouses or family members) are attempting to obtain medical records, they will need to provide the proper completed authorizations and documents granting legal authority to make healthcare decisions or obtain medical information on behalf of the patient.

To request medical records or pay for previously requested records, please read the instructions below.

How to request a copy of your medical records

Email form to:

Mail form to:
Acadian Ambulance Service, Inc.
P.O. Box 98000
Lafayette, LA 70509
Attn: Medical Records Dept.


In Person:
2916 N. University
Building G
Lafayette, LA 70507

Monday – Friday, 8:00 a.m. – 4:00 p.m. CST
Closed on holidays

Click below to pay for requested medical records.

NOTE: You must have a copy of the medical records pre-payment invoice in order to make a payment.

Medical Record Payments