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CANYON COUNTY DOCUMENTS
HIPAA Policy
This notice describes how medical information collected by Canyon County Paramedics may be used and disclosed, and how patient's can access this information.
Patient Signature Form
Purpose: Authorization to bill for services and that you have been informed about our HIPAA policy.
For use by: Canyon County Patients or Patient's Authorized Representative
Fax to: (208) 795-6960
Physician Certification Statement (PCS)
Purpose: Medical necessity for ambulance transport
For use by: Physicians
Fax to: (208) 795-6960
Advance Beneficiary Notice of Non-Coverage (ABN)
Purpose: To allow patients to make an informed decision about their transportation.
For use by: Canyon County Patients
Fax to: (208) 795-6960
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