Requests for Financial Assistance
We know that a need for ambulance transportation often brings with it a host of other financial obligations. If you feel you are unable to pay your bill with us, please complete the [Request for Financial Assistance] [need link] form and mail to
6750 Eastwood Trafficway
Kansas City, MO 64129
Or FAX: 816.924.1110
The information you provide will be reviewed by our Financial Assistance Committee whose decision is based on a number of factors including your income relative to the Federal Poverty Guideline for the current year.
You will receive a letter from us within 30 days indicating approval or denial of your request. We may offer a discounted charge, or ask for payment arrangements to be made.