Forms

Save time by getting the forms you need quickly and conveniently

In order to prepare for Heartland Ambulance Services please download these forms. Downloading these forms and filling them out prior to your visit will help expedite the process. Medicare requirements for obtaining a physician certification statement (PCS) for ambulance transportation differ depending upon whether the service is considered repetitive or non-repetitive.

If you do not have the latest version of Adobe Acrobat Reader, you may download it here.

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