Emergent HVA Ambulance Transfer Form (PCS) 2023-2025 free printable template
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Run#Huron Valley Ambulance (734) 9944111 (800) 8721111Booklet/Matching#Jackson Community Ambulance (517) 7875700 (800) 8721111Monroe Community Ambulance (734) 2425510 (800) 8721111Lenawee Community Ambulance (517) 2631633 (800) 8721111Albion Community Ambulance (517) 6299431 (800) 8721111LifeCare Ambulance (269) 9646400 Fax: (269) 5654130Billing Questions: (800) 5077847 PCS Form Fax: (734) 4776776AMBULANCE TRANSFER FORM (PCS)Physician Certification of Medical Necessity
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