Jacksonville: (904) 356-2828|Toll Free: (800) 771-2829|Lake City (386) 752-7116

Common Patient / Facility Forms

 

As a patient of ours, or a facility requiring our services you may find yourself needing information or forms to streamline transports. Please utilize this page of forms as a free self help service.

 

Physician’s Certification Statement (PCS)

HIPAA Policy

Assignment of Benefits Form

Request for Access to Medical Records