Leon County EMS also handles dozens of long distance transports each week. All long distance transports in and out of Leon County must be coordinated through our office. To setup a long distance or specialty care transfer, it is best to do so as far in advance as possible. In order to best meet your transportation needs, we ask that you fill out an EMS Transport Request Form 
and fax it to (850)606-5892 along with a patient demographic information sheet (FACE Sheet). Please obtain any required insurance pre-authorization prior to setting up your transport. If you have any questions about what else is needed, please feel free to call us at (850)606-5808.
Additionally, if a patient is being transferred from a long term care facility or hospital, you must complete and fax a physician certification form to (850)606-5892, and give the original to the responding crew. You can also download in pdf format by clicking here .
EMS Billing Rates
Updated October 2017
Type of Service
|
FY 2018 rate
|
|
Stand-by, 2 crew members w/ vehicle
|
$153/hr (3 hour min)
|
|
Stand-by, 1 crew member, no vehicle
|
$76/hr (3 hour min)
|
|
First Aid/Assessment
|
$385
|
|
Basic Life Support Non-Emergency Base
|
$557
|
|
Basic Life Support Emergency Base
|
$928
|
|
Advanced Life Support 1 Non-Emergency Base
|
$742
|
|
Advanced Life Support 1 Emergency Base
|
$1,111
|
|
Advanced Life Support 2 Base
|
$1,296
|
|
Specialty Care Transport Base
|
$1,296
|
|
Transport Mileage
|
$17.38/mile
|
EMS Notice of Privacy Practices
EMS Medicare Advance Beneficiary Notice (ABN)