Ride Along Request

Thank you for considering Tri-State Ambulance or Tri-State Regional Ambulance for an ambulance ride along. Please complete the below form to inquire further. Upon completion, a PDF will be sent to your e-mail outlining a Release Agreement. This ensures participants are aware of the risks and the importance of patient privacy. Please complete it and bring it with you on the day of your ride along if the request is granted. Thank you!

As part of this request, please download the the Release for Ride-Along Program at the link below, complete it, and bring it with you to your scheduled ride along.