All patients are required to provide their signatures to acknowledge consent for treatment and transportation. A signature on file provides Acadian Ambulance with authorization to submit a bill on your behalf, assign benefits to Acadian Ambulance allowing medical insurance carriers to pay Acadian Ambulance directly, and is used as an acknowledgment showing you did receive a copy of Acadian Ambulance’s Privacy Policy. Acadian Ambulance cannot submit a claim to a medical insurance carrier without a signed authorization from the patient or guardian. Failure to provide a signed authorization may require Acadian Ambulance to seek payment directly from the patient or guarantor.

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