ESD 11 is dedicated to accuracy, fairness, and transparency in our billing practices. We work with every patient we transport to ensure they understand how they will be billed, how their insurance status applies to their case, and what options they have for payment.
You may contact an ESD 11 representative about any billing-related questions you may have using one of the below options:
To request a copy of your medical records, complete the attached Patient Request For Access to Protected Health Information.
You may email the completed form to firstname.lastname@example.org or fax to (281) 516-5448.