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Tri-State Ambulance, Inc. 221 Buchner Place La Crosse, WI 54603 Tel: 608-784-8827 Billing: 608-784-8872 Fax: 608- 782-4522 |
Tri-State FormsPhysician Certification Statement (PCS)This form is required for interfacility ambulance transports. The forms requires physician or a representative to sign and state why the patient requires ambulance transport.
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©2008 Tri-State Ambulance, Inc. Web Design by Tornstrom Data Services |
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