Forms

Please fax forms to (888) 779-6574 or Email to support@rescuenineems.com or upload below.

PCS

Physician certification statements (PCS) are required for scheduled or unscheduled non-emergency ambulance transports.

Rescue Nine Physician Certification Statement for Non-Emergency Transport

Download

ABN

A health care provider or supplier must give an Advance Beneficiary Notice of Noncoverage (ABN) to a Medicare beneficiary before providing certain services or items if the service is expected to be denied by Medicare.

Rescue Nine Advance Beneficiary Notice of Noncoverage

Download

Complaint Form

Rescue Nine has a high quality Service. A large majority of licensed EMS personnel are competent and caring employees.
However, when a problem is experienced with an employee, you have the right to file a complaint. If you believe that an employee performance is not acceptable, you can file a complaint via this online form.

File a Complaint

Let’s together build a flourishing relationship

One of the most important things in the medical transport setting is how patients are treated. It is vital that patients are cared for in the best way possible. This can be done by the transportation workers exemplifying kindness and compassion to the patient. It is imperative that the patients be treated by being well cared for, ensured patient safety, and that they are properly communicated with.