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Customers

 

EMERGENCY TRANSPORT REQUEST     

(Facilities & Agencies Only)

800-525-5220

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

 

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 

 

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