Forms - Make a payment - Easy Pay - Madison, MN

We recommend submitting all ambulance bills to your insurance before paying. Let us know if you have any questions.

Ambulance Claim

Email Address Used to contact you in case of problem with payment

Patient Name

Address

Phone Number

Amount

Payment method

Payment Details

Payment amount

Card Processing Fee (Credit Card) 3.75% (of subtotal)

Processing Fee (eCheck) 3.75% (of subtotal)

Municipal Online Payments Fee (Credit Card) $1.25

Total

Announcement

Office Hours are Monday through Friday from 9am to 4pm.

Effective October 1, 2023, there will be a 3.75% transaction fee for payments using a credit or debit card.

320-598-7373