Contact Us




Thank you for visiting our website.  Our experienced staff is ready to assist you with your medical transportation needs.  Please contact us today by phone or stop by for more information about our services.

Dispatch: (740)522-8588 or 1-800-352-8588
Fax: (740)522-3031
Billing Office: (740) 522-8815 or 1-888-838-4187



Courtesy Ambulance Transportation Request Form

Mode of Transportation:
Wheelchair Van Ambulance
Date of Request:
Facility:
Unit/Room #
Patient Name:
DOB:
Weight
Patient POA Name
Phone Number
Patient contact phone number.
Transport To
Address
City
Zip
Doctor Name that patient will be seeing.
Doctor Office Phone #
Appointment Date
Time
Reason for Appointment
FOLLOW-UP IS NOT ACCEPTABLE FOR APPOINTMENT REASON!!!


COURTESY AMBULANCE


AMBULETTE (WHEELCHAIR) BILLING NOTICE


MEDICARE DOES NOT COVER TRANSPORTATION BY AMBULETTE/WHEELCHAIR VEHICLES UNDER ANY CIRCUMSTANCES.
PRIVATE INSURANCE DOES NOT USUALLY COVER THESE SERVICES EITHER. YOU MUST CALL YOUR INSURANCE COMPANY AND VERIFY COVERAGE FOR AMBULETTE/WHEELCHAIR TRANSPORTATION.
MEDICAID will cover ambulette transportation services as long as the patient is NOT AMBULETORY, and cannot go by private vehicle.
Please feel free to call our billing office with any questions at (740)522-8815 or toll free at (888)838-4187 Monday thru Friday from 7:30am to 5:30pm

IF YOU HAVE ANY QUESTIONS PLEASE CALL OUR DISPATCH CENTER AT
 (740) 522-8588

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