Ambulance Membership

Click on the links below to download the ambulance membership form and terms.


Membership Subscription Form & Terms


Our ambulance membership program offers valuable benefits for Oklahomans of all ages residing in LeFlore County EMS' service areas. The program is designed to cover the out-of-pocket costs, such as co-payments and deductibles, that Medicare, Medicaid and most insurance companies assign to their members. Unlike standard "gap" insurance coverage, membership covers all EMSLC emergencies.

Benefits of membership apply exclusively to EMSLC service and include: