Pay Online

Please note that some of our agencies charge a convenience fee of 3% for all credit card payments.

If you are using this to make a donation to your choice of agency, Please write down "Donation to XXX Ambulance" so we can apply the funds to the correct agency and no processing fee's will be assessed.

Patient Information

First Name *

Last Name *

Phone Number *

Email Address

Billing Information

First Name *

Last Name *

Order Info

Account # or Claim # *

Amount to Pay *

Credit Card Number

Expiration Date

CVV Code

By checking this box,
You agree to pay the listed amount plus a maximum amount of $5.00 for processing fees. Logical Billing Solutions, Inc does not retain your credit card information for future payments and that each payment can incur processing fees.

I agree with the terms & conditions above

To learn more about any of the emergency medical billing services we provide or to inquire about setting up an account for your ambulance service, get in touch by calling 585-563-1112 or reach out to us through our secure contact form on this website.