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Ambulance Services

Phone: 970-549-5830
Address: 625 Ute Avenue
Grand Junction, CO 81501
E-Mail: fire@gjcity.org

Ambulance Services


In case of an emergency call 911

 

Request for Records - 

Fee: $.25 per sheet

Forms for Medical and Non-Medical Request

Request for Records

Medical Record Requests: Parents may request information on behalf of their minor children. As well as a request on behalf of another adult can be processed with a notarized statement of consent from the patient to the requesting party. 

  • Attorney request for patient records can be processed with a notarized consent from the patient to the Attorney.
  • All requests require a completed and signed record request form and a copy of your photo ID.
  • Requests should be made at Fire Administration (625 Ute Avenue) if not made in person all signatures are required to be notarized.   

Ambulance Billing Contact Information
Office Address: 625 Ute Avenue, Grand Junction, CO 81501
Office Hours:  Monday - Friday, 8am to 5pm
Office Number:  970-549-5830
Office Fax:  970-549-5840
Non-Emergency Ambulance Dispatch:  970-242-6707
Sheldon Kier - Medical Services Chief  sheldonk@gjcity.org
Danni Ferguson - Finance Technician  dannif@gjcity.org
Billing Questions - Wittman Enterprises 1-800-906-6552 

 

Non-Emergency Transport Forms

 

Needed Non-Emergency Transport Request Forms

 

Other Forms 

 

Non-Emergency Ambulance Dispatch: 970-242-6707

* In case of an emergency call 911

Fees

Fee Schedule