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Interfacility Transports

KCEMSS offers a variety of transport services to hospitals, rehabilitation facilities, and nursing homes throughout the Northwest.

Basic Life Support (BLS)
Kootenai County EMS provides Basic Life Support Units staffed with EMT's providing medically necessary transports in our community.
PCS and ABN Forms (scroll to bottom)
Advanced Life Support (ALS)
Kootenai County EMS provides Advanced Life Support Units staffed with Paramedic's providing medically necessary transports in our community.
PCS and ABN Forms (scroll to bottom)
Critical Care Transports (CCT)
Kootenai County EMS provides a critical care team for those patients needing advanced care when transported from Hospital to Hospital. Our team is made up of Paramedics with specialty training in critical care.

Patient Transport Forms

The forms below are in .pdf format and you may need to download Adobe Reader to view and print them. Get Adobe Reader

Patient Transfer Forms

  • PCS - Physician Certification Statement
  • ABN - Advanced Beneficiary Notice of Non Coverage
  • Non-Emergent Transport Request Checklist
  • Facility to Facility Level of Service Criteria
  • Transport Request (ALS Interfacility)
  • Transport Request (BLS Interfacility)
If you have questions about the level of services needed for your transport, contact the Kootenai County EMS Administrative Office (208-930-4224).
To schedule a non-emergent transport contact (208) 930-4224. KCEMSS during business hours: M-TH 7:30AM to 4PM Friday 7:30AM to 2PMAfter business hours and holidays contact CDA Central Dispatch @(208) 446-1854, Option #2.
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Kootenai County Emergency Medical Services System
Administrative Office HoursMonday thru Thursday7:30 AM - 4:00 PMFriday7:30 AM - 2:00 PM