Please note that due to increased costs there will be a $5.00 processing fee per transaction.

If you are using this to make a donation to your choice of agency, Please write down "Donation to XXX Ambulance" so we can apply the funds to the correct agency and no processing fee's will be assessed.    

Patient Information

Billing Information

Order Information

By checking this box,

You agree to pay the listed amount plus a maximum amount of $5.00 for  processing fees. Logical Billing Solutions, Inc does not retain your credit card information for future payments and that each payment can incur processing fees.  

To learn more about any of the emergency medical billing services we provide or to inquire about setting up an account for your ambulance service, get in touch by calling 585-563-1112 or reach out to us through our secure contact form on this website.

Contact Us