Patient Notebook

FOR PAYMENT PLANS CONTACT OUR OFFICE

Adair County Ambulance District

606 W Potter Ave

Kirksville, MO 63501

Phone: (660) 665 - 0000

Email: billing@academs.us

Make a Payment

Need to make a payment? Please fill out the information below and hit continue.

Error Summary

Please, correctly fill out all required fields.

1. Patient/Student Information

First Name *

M.I.

Last Name *

Account Number / Class Name *

Dates of Service / Enrollment Date *

Email Address

A receipt will be sent to this email address.

2. Payment Amount

Amount

3. Payment Method

Credit/Debit Card

Bank Account

Name on Card *

Card Number *

Expiration Date *

Security Code *

Zip Code *

Cancel

Adair County Ambulance District

P (660) 665 - 0000

606 W Potter Ave

Kirksville, MO 63501