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Providers

Provider Submission

For Patient Information submission, or to submit any other information or files, please use the following form.

 

*Our company is HIPPA compliant. The information contained in this transmission may contain privileged and confidential information, including patient information protected by federal and state privacy laws. It is intended only for the use of First Care Ambulance.

Provider Submission
Name
Attach File
Maximum upload size: 20MB

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