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AMBULANCE TRANSPORT
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Ohio Medicaid Ambulance PCS
Physician Certification Statement (PCS) form for applicable Ohio Medicaid ambulance transportation.
FACILITY PARTNERS
Facility Resources
FACILITY RESOURCES
Forms & Downloads
Access commonly used Spirit EMS transportation forms for ambulance and wheelchair services. Select the appropriate document below to open or download the PDF.
Before submitting transportation paperwork
Please make sure the appropriate form is completed accurately and includes all required information and signatures.
WHEELCHAIR TRANSPORT
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Ohio Medicaid Wheelchair PCS
Physician Certification Statement (PCS) form for applicable Ohio Medicaid wheelchair transportation.
GENERAL PCS
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Blank Zoll PCS
Blank fillable Physician Certification Statement (PCS) form for facility use when completing transportation paperwork.
NEED ASSISTANCE?
Questions About Facility Transportation?
If you have questions about transportation paperwork, scheduling, or which form should be used, contact Spirit EMS.
CALL SPIRIT EMS
(937) 548-2800