Welcome to the Patient Portal
A quick and secure way to pay your EMS bills and more.
Please choose from the options below. For additional information, please contact our Patient Customer Service Department at 800-849-5603.
When logging in, please have the following information on hand:
First Name
Last Name
Date of Service
Date of Birth
Run Number
(Located on your statement)
Select one of the following:
Make A Payment
Provide Insurance Info
Submit Your Signature
Take A Survey
Ask A Question
Attorney Requests
Additional Documents:
Patient Authorization Form
Caller Authorization Form
HIPAA Auth Form for Patient Medicare Appeal