||Please fill out the appropriate sections of this form and fax or email the completed form. Once received, a MEDIC EMS Dispatcher will contact you to finalize the transfer.
If this is an EMERGENT or time critical patient transport, please contact our dispatch center immediately at 563-323-1000.
|1204 East High Street
Davenport, IA 52803
Phone: (563) 323-1000
Fax: (563) 326-4988