Medical Necessity Form for Air Ambulance Transports

["Beth HAUCK" <BMHAUCK@aircare.org>]

Anyone willing to share their form, please fax a copy to 616-337-2506.

 

Thanks for your assistance in advance.

 

Beth M. Hauck
Assistant Program Director
West Michigan Air Care
1535 Gull Road - Suite 100
Kalamazoo, MI  49048-1628
(616) 337-2508 Phone
(616) 337-2506 FAX
bmhauck@aircare.org