Medical Records

Your Privacy Comes First

Requesting Medical Records

All patient healthcare information is confidential and protected by State & Federal laws.

Acadian Ambulance Service requires a completed, signed and dated Authorization for Release of Protected Health Information before healthcare records can be released to anyone, including the patient.

To ensure that Acadian Ambulance Service complies with federal privacy laws and regulations if anyone other than the patient, including spouses or family members are attempting to obtain medical records on the patient’s behalf, we require documentation granting legal authority or a sworn affidavit attesting to the representatives’ legal authority to obtain medical information on behalf of the patient.

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request a copy of your medical records

Linked below is our Authorization for Release of Protected Health Information.

Completed authorizations and any additional documentation that may be required can be sent to Acadian Ambulance Service via mail or email at the address listed below:

Acadian Ambulance Service
Attn: Medical Records
P.O. Box 98000
Lafayette, LA 70509-8000


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.


Monday – Friday, 7:00 a.m. – 3:00 p.m. CST
Closed on holidays

Need Additional Assistance?

If you have questions about this process, please feel free to email our Risk Management department at or call 800-259-2222, Option 7 (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.