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Anyone who resides in the geographical area covered by the East Fork Fire & Paramedic Districts, regardless of
whether you have insurance or not.
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| WHAT SERVICES ARE COVERED?
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All 911 emergency calls.
All medically necessary and approved trips to and from healthcare facilities, doctor's offices, and nursing homes in Douglas County.
All medically necessary and approved transfers from healthcare facilities within the East Fork
Fire & Paramedic District coverage area to other areas within 75 miles.
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Only $75.00 for the entire family!
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East Fork Fire & Paramedic Districts
P.O. Box 505
1694 County Road
Minden, NV 89423
Phone# (775) 782-9044
Fax# (775) 782-9043
http://www.eastforkfire.org/
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1. The primary subscriber should read and sign the Subscription Service Contract. The contract can be downloaded from below in PDF
format and then printed from your home computer.
2. A separate application form for the primary subscriber and each dependent must be filled out with all pertinent information including insurance
coverage if any. There is one application for a renewal and one for a new member. Either Application form can also be downloaded from below in PDF format and then printed from your
home computer.
3. A $75.00 fee must accompany the completed and signed application and contract.
Only one payment is required per family. The payment can be a personal check, credit card, money order, or cash. Do not mail cash.
4. The application period will be by June 30th in order to become a member for each membership year. The membership year runs from
July 1st through June 30th of each year. Applications can be mailed or hand delivered to the address on the agreement form.
5. Each applicant will be notified of acceptance or rejection of membership. Rejection would constitute failing to meet the requirements stated
on the Agreement form. All members and dependents will receive a membership card.
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