Skip to Main Content

Create an Account - Increase your productivity, customize your experience, and engage in information you care about.   

  • Sign In

Frederick County

Share

  1. Facebook
  2. Twitter
  3. Pinterest
  4. Delicious
  5. Blogger
  6. LinkedIn

Site Tools

  1. Home
  2. My Account
  3. Printer Friendly
  4. Email Page
  5. Contact Us
  6. RSS
  7. Site Map
  8. Translate Page
  9. Notifications
  10. Documents
Go to Site Search
Rich History, Bright Future
  1. Government
  2. Departments
  3. Services
  4. Community
  5. Business
  6. How Do I
  1. Home
  2. Government
  3. Divisions
  4. Public Safety
  5. Division of Fire & Rescue Services (DFRS)
  6. Ambulance Billing
  7. Forms

Forms

  • Patient Request for Access to Protected Health Information 
  • Consent Form with Assignment of Benefits Authorization 
  • Subscription Club Brochure and Application
  • Hardship Application Form
  1. Ambulance Billing FAQs
  2. Forms
  3. HIPAA
  4. Subscription Club
Parks &
Recreation
Health
Department
Frederick
Transit

FCG TV

Employment

Connect With Us

Facebook
Twitter
YouTube

Contact Us

  1. Frederick County Government        
    12 E. Church St.
    Frederick, MD 21701  
    Ph: 301-600-9000    
    Monday - Friday
    8:00 am - 4:00 pm                                               


Helpful Links

  1. Animal Control
  2. Allied Agencies
  3. Citizens Services
  4. Highway Operations
  5. Planning & Permitting
/QuickLinks.aspx

Site Links

  1. Contact Us - County Staff Directory
  2. Copyright Notices
  3. Accessibility
  4. Government Websites by CivicPlus®
  5. Website User Policies, Terms & Conditions
  6. Employees
/QuickLinks.aspx
Arrow Left Arrow Right
[]
Slideshow Left Arrow Slideshow Right Arrow