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RescueCare Membership Application


  1. 1. Household Addresses
  2. 2. Household Members
  3. 3. Agreement Terms & Signature
  • Household Addresses

    1. Membership period of July 1st through June 30th
      If a member needs ambulance treatment or transport, RescueCare will bill any insurance carrier and consider whatever insurance pays as payment in full. Your membership fee covers everything else.
    2. Complete if different from your Street Address.