Commercial Ambulance Company Permit Application

Commercial EMS companies wishing to be permitted to operate in Virginia Beach must complete and submit the following application and disclosure form. (Form pending)

Commercial Ambulance Services (CAS) Permitted for Operation Within Virginia Beach (as of July 1, 2025)

Commercial Ambulance Service Call Diversion Program

Virginia Beach EMS maintains a policy that allows calls-for-service (CFS), which meet limited criteria, to be turned over to a commercial ambulance service (CAS) provider. This policy is administered under the provisions of Virginia Code §32.1-111.4:3. The eligibility criteria to turn a call over to a CAS include:

• The CFS must be classified as a Priority Two type incident through the emergency medical dispatching screening conducted by the city’s Emergency Communications and Citizen Services department.
• The CFS must be at a facility that has licensed healthcare providers on-site, including long-term care, skilled nursing, or other similar type facilities.

To be eligible to receive a turned-over CFS, the provider must be permitted by the City of Virginia Beach in good standing, and:

• Will not accept a turned-over CFS if they cannot meet the response time requirements.
• May not utilize emergency response mode to respond to the CFS.
• Be able to provide for advanced life support care if the patient’s condition warrants it.
• Acknowledge understanding of and intent to comply with the provisions of the policy.

Interested CAS providers, please complete the CAS Interest Form and return it to VBEMS for review.

• CAS Interest Form