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.
In addition to the below form, all participants in the Ride-Along program need to read and complete the Release Agreement obtained by clicking on the download link. This ensures participants are aware of the risks and the important of patient privacy. Please download the form, complete it, and either attach it at the bottom of the ride along request or bring it with you on the day of your ride along. Thank you!