Marketing Services
Marketing Services Request Form
If you do not already have a media consent form, please download the appropriate PDF below and have it signed to turn in with your photos.
ADULT CONSENT FORM
MINOR CONSENT FORM
Sharon Kraun
Vice President of Marketing & Communications
[email protected]
Priority Ambulance fulfills legal billing and record requests electronically via ChartSwap, www.ChartSwap.com.
ChartSwap is a HIPAA compliant platform facilitating electronic medical and billing record exchanges between medical providers and law firms, and other requesting parties. It’s free to register and requestors can use ChartSwap to request, track, pay for and download records.
Submit your request via ChartSwap.com using the following steps.
1. Register at http://www.chartswap.com/register
2. Sign in and Search for a Provider, Enter Request Details, then Upload Supporting Documents
3. Once your request has been reviewed and records are available, you will receive a notification and invoice which you can pay with a check or credit or debit card.
Amanda Shell Jennings
Director of Marketing and Communications
[email protected]
Priority Ambulance fulfills legal billing and record requests electronically via ChartSwap, www.ChartSwap.com.
ChartSwap is a HIPAA compliant platform facilitating electronic medical and billing record exchanges between medical providers and law firms, and other requesting parties. It’s free to register and requestors can use ChartSwap to request, track, pay for and download records.
Submit your request via ChartSwap.com using the following steps.
1. Register at http://www.chartswap.com/register
2. Sign in and Search for a Provider, Enter Request Details, then Upload Supporting Documents
3. Once your request has been reviewed and records are available, you will receive a notification and invoice which you can pay with a check or credit or debit card.
Sharon Kraun
Vice President of Marketing & Communications
[email protected]
Priority Ambulance fulfills legal billing and record requests electronically via ChartSwap, www.ChartSwap.com.
ChartSwap is a HIPAA compliant platform facilitating electronic medical and billing record exchanges between medical providers and law firms, and other requesting parties. It’s free to register and requestors can use ChartSwap to request, track, pay for and download records.
Submit your request via ChartSwap.com using the following steps.
1. Register at http://www.chartswap.com/register
2. Sign in and Search for a Provider, Enter Request Details, then Upload Supporting Documents
3. Once your request has been reviewed and records are available, you will receive a notification and invoice which you can pay with a check or credit or debit card.
Amanda Shell Jennings
Director of Marketing and Communications
[email protected]
Priority Ambulance fulfills legal billing and record requests electronically via ChartSwap, www.ChartSwap.com.
ChartSwap is a HIPAA compliant platform facilitating electronic medical and billing record exchanges between medical providers and law firms, and other requesting parties. It’s free to register and requestors can use ChartSwap to request, track, pay for and download records.
Submit your request via ChartSwap.com using the following steps.
1. Register at http://www.chartswap.com/register
2. Sign in and Search for a Provider, Enter Request Details, then Upload Supporting Documents
3. Once your request has been reviewed and records are available, you will receive a notification and invoice which you can pay with a check or credit or debit card.