Link

Customers

 

*If you are a patient requiring emergency care, please dial 911* 

EMERGENCY TRANSPORT REQUEST     

(Facilities & Agencies Only)

800-525-5220

Transport Forms

Physician/Qualified Medical Personnel Statement | Medical Necessity Form

Ambulance Billing Authorization

Formulario de autorizacion de cobro de ambulancia - Proveedores

 

*Patient Accounts*

  Patient Accounts Link 

 

Let us know how we're doing! 

Hospital/Agency Survey

Contact Us by Email


Notice of Privacy Practices 

 

Aviation Consumer Protection Division, C-75

U.S. Department of Transportation, 1200 New Jersey Avenue, SE. Washington, DC 20590

202-366-2220 (TTY 202-336-0511), 1-866-TELL-FAA (1-866-835-5322)