Notice of Privacy current as of 2008 available as HTML (web page) or PDF.
Physician Certification Statement (PCS)
This form is required for interfacility ambulance transports. The forms requires physician or a representative to sign and state why the patient requires ambulance transport.
Tri-State Ambulance medical direction offers an advanced set of pre-hospital protocols.
Tri-State Ambulance is proud to announce the inception and creation of a valuable program that will aid our community in the treatment and survival of sudden cardiac arrest victims.
Since 2008, Tri-State Ambulance has provided fully equipped and experienced paramedics to accompany groups of U.S. veterans to Washington, D.C. In 2010, Tri-State Ambulance paramedics accompanied three additional flights. The Freedom Honor Flight has assisted hundreds of area veterans in visiting their memorial.
Tri-State Ambulance is honored to contribute our skilled paramedics to these important events. Please visit the Freedom Honor Flight website and join us in supporting this valuable program.
| Main | 608-784-8827 |
| Billing | 608-784-8872 |
| Fax | 608-782-4522 |