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Schuylkill EMS is committed to providing safe, efficient Emergency Medical and Ambulance Transportation Services to communities throughout Schuylkill County.

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Schuylkill EMS is committed to providing safe, efficient Emergency Medical and Ambulance Transportation Services to communities throughout Schuylkill County.

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1

Secure Payment Form

http://www.schuylkillems.org/ssl/payment_form.aspx

This is a HIPAA and Red Flag Secure and Compliant contact. You will need information from your invoice to complete your payment. Please use the secure form below to submit payment to PAEMS. We accept VISA, Mastercard, Discover Card, and American Express. If you enter your email address, you willl receive email confirmation that your payment has been received. Please enter the name of the ambulance service. Name of Ambulance Service:. Please enter the run number from your invoice. Run Number from Invoice:.

2

Patient Inquiry Form

http://www.schuylkillems.org/ssl/patient_inquiry_form.aspx

This is a HIPAA and Red Flag Secure and Compliant contact. You will need the invoice you received to complete this form.). Please enter the patient's first name. Please enter the patient's last name. Please enter the city. Please enter the state. Please enter a phone number. Please enter an email address. Please enter a valid email address. Please look at thte top of your invoice and enter the following information. Please enter the date of service. Please enter the text in the security image.

3

Subscription Entry Form

http://www.schuylkillems.org/ssl/subscription_form.aspx

This is a HIPAA and Red Flag Secure and Compliant contact. Please use the secure form below to submit payment to PAEMS. We accept VISA, Mastercard, Discover Card, and American Express. If you enter your email address, you willl receive email confirmation that your payment has been received. Please select a subscription type. Please enter the donation amount you will pay at this time. Please enter the amount as a valid numeric money value (without the $ symbol). Comments or Additional Information:.

4

Patient Insurance Information Form

http://www.schuylkillems.org/ssl/patient_insurance_form.aspx

To help us file a claim with your insurance carrier, please complete the form below and press the 'Submit' button. Please enter the run number. Please enter the date of service. Please enter the patient's first name. Please enter the patient's last name. Please enter the patient's phone number. Apt, Suite, etc.:. Apt, Suite, etc.:. The ambulance service provided was the result of an employee accident. The ambulance service provided was the result of an automobile accident. Please enter the following text:.

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