First Transit's fax number is (630) 873-1450.
- Revised 07/01/19, HFS 2270, Physician Certification Statement (PCS) for Ambulance Transport or Medicar/Service Car Transport (replaces the MCA and CTS forms). If the form does not open in your browser - right-click on the link, select Save Link As, save the file to your computer, then open the saved file.
- HFS 2270 Physician Certification Statement and Transportation Provider Complaint Portal
- July 2019, Transportation PowerPoint Presentation for HFS 2270, Physician Certification Statement
- 07/25/19 Notice to Enrolled Transportation Providers; Hospitals; and Long Term Care Facilities regarding Facility Compliance in Completing the HFS 2270, Physician Certification Statement for Non-Emergency Transportation
- 02/15/19 Notice to Enrolled Transportation Providers; Hospitals; and Nursing Facilities regarding HFS 2270
- Standing Prior Approval (SPA) Form
- Single Trip Form
- Psychiatric Services Treatment Plan Form for CAP/GAP Providers
- Psychiatric Services Treatment Plan Form for Provider Type 36 (LPHAs)
- HFS 3701T Therapy Prior Approval Request Form (if you are unable to view this form, right-click to save the file and then open it in Adobe Reader directly)
- Complaint Form
- CTS Form