Treat and Refer Billing

Billing for the Treat and Refer service provided by the City of Surprise is contracted through an independent EMS billing company called ImageTrend.

ImageTrend has customer service representatives available to address billing and insurance questions. To contact a customer service representative, please call 833.469.7789 opt. 1.

If you are not satisfied, you may contact the Surprise Fire-Medical Department at 623.222.5005. You can also email the Surprise Fire-Medical Department with questions / concerns at

Answers to some frequently-asked billing questions are provided below: