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Online Forms



EMS Protocol          ι          Privacy Act Notice

Online Forms           ι          Support Services

 

Online Medical Necessity Forms

These forms are provided to all medical facilities that utilize Medic EMS, LLC for their pre-hospital emergency and non-emergency services.  Medicare & Medicaid require these forms to be completed on all Medicare/Medicaid card holding patients.  For your convienence, the medical necessity form is available to fill out and print online.     

These forms are in PDF format.  Acrobat Reader is required to view.

 Medical Necessity Form

HIPAA Privacy Act Form 


IMPORTANT NEWS

 September 1, 2008

Medic EMS Paramedic Team arrives in 
Houston, Texas to assist the City of Houston with 911 calls and triage for Hurricane Gustav.
Keep our crew in your prayers for safety.

Story from The Gazette: Medina, Ohio

Latest Team Photos

 Official Medical Team
for
NEO Rock'N'Roller Girls

Roller Derby Team

http://www.nrrgirls.com/

 NOW HIRING

FULL/PART-TIME POSITIONS

EMT & PARAMEDIC

MEDIC EMS Goes SMOKE-FREE

Starting September 1, 2008, Medic EMS employees will be smoke-free or begin a cessation program in an effort for a healthier lifestyle of our employees and our patients.

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ASSOCIATE MEMBER

All Content & copy; 2008 MedicEMS