Ambulance Program
Services, Billing, and Forms
AMBULANCE SERVICES
The Central Arizona Fire and Medical Authority (CAFMA) launched its ambulance transport service on October 1, 2024. CAFMA’s ambulances operate 24/7 with a skilled team of paramedics and emergency medical technicians (EMTs) dedicated to safeguarding the health and well-being of community members in Prescott Valley, Chino Valley, Dewey-Humboldt, and surrounding areas.
As an ambulance provider in the state of Arizona, CAFMA is regulated by the Arizona Department of Health Services Bureau of EMS, and we operate within the parameters of our Certificate of Necessity (CON).
AMBULANCE BILLING
SUBMIT INSURANCE INFO
Submit medical insurance information to our billing provider.
VISIT PATIENT PORTAL
Follow the link below to view the full EMS Billing Patient Portal.
RECORDS REQUESTS
Community members can request EMS or fire incident reports documenting calls and/or incidents responded to by CAFMA personnel. These reports provide valuable details about specific emergencies and can be accessed by completing a Records Request Form. Whether for personal records, insurance purposes, or other needs, this process ensures transparency and access to critical information. Click the link below to get started.
RECORDS REQUEST
Submit request for official records related to your ambulance transport.
HEALTH INFORMATION EXCHANGE
HEALTH INFORMATION REQUEST FORM
Submit a Health Information Request form.
HEALTH INFORMATION EXCHANGE OPT-IN / OPT-OUT
Submit a Health Information Exchange Opt-In or Opt-Out form.
HEALTH & PRIVACY
CAFMA values the privacy of our patients. Below is our Notice of Privacy Practices, outlining how we manage your protected health information in compliance with state and federal laws.
HEALTH INFORMATION PRACTICES
Notice of Health Information Practices related to ambulance transport.
PRIVACY PRACTICES
Notice of Privacy Practices related to ambulance transport.