REEDSBURG AMBULANCE
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  • About Reedsburg Ambulance
    • History Of Reedsburg Area Ambulance Service
    • Coverage Area & Local 1st Responders
    • Current Leadership
    • Past Leadership
    • Our Values
    • Our life in Pictures
  • Donations
  • Community Involvement
    • COVID-19 TESTING
    • Public Classes
    • Community Paramedic Program ( MIH)
    • Wisconsin Coverdell Stroke Program: Stroke Systems of Care
    • Sharps Collection Program
  • Inter-facility Transfers
    • Hospital Feedback Survey
    • Transfer Forms
    • Level of Transfers
  • RECRUITMENT
    • Minimum Qualifications
    • Why Work For Reedsburg EMS
    • Application Process
    • Onboarding & Training
  • Contact

Transfer Forms

 The following forms should be used and provided for inter-facility transfers:
  • EMTALA Transfer Form from the facility
  • ​PCS ( Please make sure the physician or designee as printed the name who has signed it) 
  • Patient face sheet
  • ​Patient Insurance Cards
  • No orders sheet is needed
Physician Certification Statement
File Size: 108 kb
File Type: pdf
Download File

​Yearly Fundraiser 
EMS Crew Feedback Form
&
HIPPA Notice of Privacy Practices (PDF File)
​EMS Standby Request
​      EMS Students
Follow Reedsburg Area Ambulance Service

​Billing Questions:
LifeQuest
N2930 STATE ROAD 22
Wautoma WI 54982-5267
(800) 786-4911 - Toll Free
(920) 787-2291
(920) 787-4033 - Fax
​Reedsburg Area Ambulance Service Station Contact Information:
230 Railroad Street
Reedsburg, WI 53959
608-524-3074
Fax: 608-768-0907
Reedsburg Area Ambulance COVID-19 Testing Info:
Every Tuesday until further notice | Follow the outdoor signs | Stay in your car
  • Reedsburg EMS Station | 230 Railroad Street, Reedsburg WI
  • 9am to 11am
  • MUST REGISTER prior to arrival.
  • To register go to: register.covidconnect.wi.gov/en-US/
  • No time appointment needed. 
  • Bring your smartphone or the QR Code to scan
  • HOME
  • About Reedsburg Ambulance
    • History Of Reedsburg Area Ambulance Service
    • Coverage Area & Local 1st Responders
    • Current Leadership
    • Past Leadership
    • Our Values
    • Our life in Pictures
  • Donations
  • Community Involvement
    • COVID-19 TESTING
    • Public Classes
    • Community Paramedic Program ( MIH)
    • Wisconsin Coverdell Stroke Program: Stroke Systems of Care
    • Sharps Collection Program
  • Inter-facility Transfers
    • Hospital Feedback Survey
    • Transfer Forms
    • Level of Transfers
  • RECRUITMENT
    • Minimum Qualifications
    • Why Work For Reedsburg EMS
    • Application Process
    • Onboarding & Training
  • Contact