Transport Request

If you are having an emergency – Dial 9-1-1

Care Managers and Transport Coordinators

If you need to schedule a non-emergency transport, contact our Transport Coordinator at 681-285-9644.

Understanding the Physician Certification Statement (PCS)

The Physician Certification Statement (PCS) Form is written authorization from a Physician, Physician’s Assistant, Nurse practitioner, Clinical Nurse Specialist, Discharge Planner or Registered Nurse signifying that transport by ambulance is medically necessary and the patient’s condition at the time of transport meets medical necessity requirements.

Insurances (such as Medicare, Medicaid, and certain commercial payors) requires that a patient’s condition meet “Medical Necessity” requirements for transport by ambulance or they will not authorize payment. This means that transporting the patient by any other means is contraindicated by the patient’s condition at the time of transport. The Patient Care Report (PCR), along with a completed PCS Form, must clearly and accurately demonstrate medical necessity for an ambulance at the time of transport.

PCS Guide (pdf? Buttons?)

PCS Form (pdf? Buttons?)