Form Center

By signing in or creating an account, some fields will auto-populate with your information and your submitted forms will be saved and accessible to you.

Park Forest Fire Department Request for Records

  1. Fire Department
  2. Note - A “Patient Request for Access” form should be completed for EMS record requests. EMS records are protected under HIPAA and will only be given to the patient or patient’s guardian if the patient is a minor. Valid picture ID is required to obtain medical records.
  3. A response to most requests will be made within five business days.
  4. Leave This Blank:

  5. This field is not part of the form submission.