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Ambulance Services & Records Requests
Records
To request non-medical records (i.e. Fires, Inspections, Haz-Mat, Environmental), complete this records request form.
For questions about ambulance transport billing or to request medical records, please call Wittman Enterprises at 1-800-906-6552.
Grand Junction Ambulance Service Billing
We outsource our billing to Wittman Enterprises based out of Sacramento, California.
For information on where to send billing correspondence, to pay your bill by phone, or for any questions regarding your medical bill, call Wittman Enterprises at 1-800-906-6552.
To pay for a Grand Junction Ambulance Service bill online, please have your Run Number, Incident Number, and the Date of Service found on your billing statement ready and go to www.webillems.com.
Request an Ambulance
All dedicated ambulance standby contracts must be called in for approval at least 2 weeks prior to the day of the event. Failure to do so will result in the request being denied.
Please call the main administration line at (970) 549-5800 for ambulance contract approval. Contract fee estimates are listed by crew type and hourly rate below under Ambulance Fees.
Before Faxing any paperwork for long distance transports, you must call 970-242-HELP (4357).
- Patient Face Sheet
- Patient Medication List
- DNR order (if applicable)
- Physician’s Certification Statement (PCS) for Medical Necessity (PDF)
Forms can then be faxed to 970-549-5840.