Apply for Assistance

Please apply for assistance using the form below. Your information will be kept private and only used to coordinate a response from EMA. Feel free to ask questions or provide as much information as needed in the “Your Message” section.

Emergency Medical Assistance is a 501(c)(3) non-profit, tax-exempt organization. Donations to EMA are deductible to the fullest extent of the law. A copy of the official registration and financial information may be obtained from the division of consumer services by calling toll-free within the state. Registration does not imply endorsement, approval, or recommendation by the state. Florida Registration 1-800-HELP-FLA (435-7352) www.FloridaConsumerHelp.com.

Florida Registration Number: CH8191

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