Certified Ambulance Group, Inc., Logo Phone Icon (800) 336-6402

Insurance Submission Form

Please use the form below to submit your insurance information to our billing department.  This form is not kept on this site once finished.  The form is placed in an ecrypted file to protect your securtity.  If you have any questions, please feel free to contact us at 800-336-6402, Monday thru Friday 8:30 am to 5 pm.  Thank you.