General Contact Form

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LifeLine EMS is committed to protecting your information. Your information will be used in accordance with all applicable data privacy laws where we operate, and our own privacy policy as well.

Ride Along Request Form

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LifeLine EMS uses emails to confirm scheduled shifts. Please provide an active email below.
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Please provide your proof of COVID vaccination OR letter of exemption. (Medical or Religious)

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LifeLine EMS is committed to protecting your information. Your information will be used in accordance with all applicable data privacy laws where we operate, and our own privacy policy as well.