| Ambulance Service: Glastonbury Ambulance Association
I want to pay my ambulance bill by credit card or check.
You have received one of the forms pictured below:
* These fields are required to help us serve you better.
*Please type in the Call/Patient ID # found on YOUR form
*What type of service did you receive?
9-1-1 emergency service
9-1-1 service but I was injured on the job
9-1-1 service but I was injured in a motor vehicle accident
Routine scheduled transportation
*Date of Service: