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HIPAA Consent

Due to the emergent nature of our EMS runs we have provided the Notice of Privacy Practices to you via the link below.  The Privacy Practice Notice provides information about how we may use and disclose protected health information about you.  As provided in our notice, the terms of our notice may change.  If we change our notice, you may obtain a revised copy by printing the document using the attached link.  You have the right to request that we restrict how protected health information about you is used or disclosed for treatment, payment or health care operations.  We are not required to agree to this restriction, but if we do, we are bound by our agreement by signing this form, you consent to our use and disclosure of protected health information about you for treatment, payment or health care operations.  You have the right to revoke this consent, in writing, except where we have already made disclosures in reliance of your prior consent.

Please feel free to print a copy using the link below

/Notice of Privacy Practices (form 7).pdf

 

EMS Billing

Billing Questions please call our billing company, Accumed, at 1-800-926-6985

You can now pay your EMS transport bill on line through Point and Pay.  Please follow the link below and fill in all the required information.  If you have any question please contact Accumed at 1-800-926-6985 or Lt. Lisa Martin at 313-791-3658.

https://client.pointandpay.net/web/DearbornHeightsFireDepartment

 

 

Customer Satisfaction

The Dearborn Heights Fire Department wants to provide the public with the best services possible.  Please help us improve our performance by filling out the following document and returning it to the Dearborn Heights Fire Department.

/customer satisfaction survey .pdf