Ambulance Services

  1. Non-Medical Records
  2. Medical Records & Ambulance Billing
  3. Long Distance Transport Requirements

To request non-medical records (Fire, Haz-Mat, and Environmental) complete the records request form.

Non-Emergency Transport Forms for Medical Professionals

  1. Advanced Beneficiary Notice (PDF)
  2. Hospice Payment Authorization Request (PDF)
  3. Medicaid Authorization (PDF)
  4. Notice of Privacy Practice (PDF)
  5. Patient Guardian Consent to Release of Records (PDF)
  6. Release of Medical Information for Billing Purposes (PDF)

Fees

  1. 2020 Fee Schedule (PDF)