Laserfiche WebLink
APPENDIX A <br />CLIENT FEE SCHEDULE <br />Client has established the following fee schedule for emergency medical services transport: <br />Service Fee <br />Basic Life Support (BLS) $450.00 <br />Advanced Life Support (ALS) $650.00 <br />Advanced Life Support 1(ALS 1) $700.00 <br />Loaded Mileage <br />MILEAGE TRACKING OPTIONS DOCUMENTATION <br />$10.00/mile <br />Client will track and communicate mileage to Life Force which shall not exceed the loaded miles from the <br />Pickup point to Destination as follows: <br />(SELECT ONE) <br />_X_ Odometer reading (Preferred documentation) <br />Mapquest <br />Client's Mileage Chart, a copy of which is attached <br />CUSTOMER NAME: <br />DATE: <br />22068l513664-1