If this is a time critical patient transport, please contact MED-COM immediately at (563) 323-1000.

The Physician Certification Statement (PCS) Form is written authorization and submitted by a Physician, Physician’s Assistant, Nurse Practitioner, Clinical Nurse Specialist, Discharge Planner or Registered Nurse signifying that transport by ambulance is medically necessary and the patient’s condition at the time of transport meets medical necessity requirements.