Records Request

Fort Osage Fire Protection District will provide public records per State statue. Patient information and personal data will not be provided to the general public.

Name(Required)

First Last

Address(Required)

Street Address City State / Province / Region ZIP / Postal Code Country

Phone(Required)

Fax

Email(Required)

Requested Document(Required)

Please provide the name of patient, incident number, date of service, or any other description of what records you are requesting.

Identification Record(Required)

Please upload identification for record request indicating you are the patient or Power of Attorney over the patient or other documents needed.

Accepted file types: jpg, png, pdf, doc, docx, Max. file size: 5 MB.

E-Signature(Required)

CAPTCHA

Non-Emergency Line: (816) 650-5811 / For Emergencies Dial 911

Records Request

Areas Served

CONTACT

Administration Hours