Ambulance service shall be operated by the fire department and shall be under the supervision and control of the chief of the fire department and subject to the rules and regulations set forth in this article and subject to any rules and regulations which may be established by ordinance, resolution, or order of the city council.
[Code 1984, ch. 1, § 12(A)(2)]
Requests for emergency ambulance service shall be made to the police and/or fire department. Calls shall be answered by the fire department of the city. Ambulance attendants shall have the authority to pick up any injured or sick persons from public or private property whenever the need arises and also when and if requested by some person responsible for the sick and injured person. Only emergency ambulance calls will be answered. Emergency shall include very severely sick person or persons who are immobile and require transportation to a local hospital.
[Code 1984, ch. 1, § 12(B)]
Emergency medical service shall be provided within the corporate limits of the city and to other such cities where a mutual aid agreement may be established if such city has its own city operated emergency medical service.
[Code 1984, ch. 1, § 12(A)(1)]
Ambulance service will be provided to persons outside the city when:
(a) 
A mutual aid agreement has been agreed upon and approved by the city council and fire chief.
(b) 
Any emergency shall be determined to be an emergency by the authority of the fire chief of the city or by the acting chief in the event of the fire chief's absence.
[Code 1984, ch. 1, § 12(C)]
It shall be the sole responsibility of the fire department person in charge of the ambulance at the emergency scene as to which hospital the patient will be taken, based on the hospital's capability and severity of the case.
[Code 1984, ch. 1, § 12(D)]
The fees and charges for the use of the city emergency medical services shall be as provided in appendix A.
[Code 1984, ch. 1, § 12(E)]
(a) 
The fire chief, or his authorized representative, will be responsible for:
(1) 
The billing of charges and sending statements.
(2) 
Receiving payments for services.
(3) 
Forwarding received payments to the city.
(b) 
The person transported, or in the event such person is a minor or incompetent, such person's parent or guardian, shall be responsible for the fees or charges incurred for the city emergency medical service. Such fees or charges shall be payable to the City of Richland Hills, 3201 Diana Drive, Richland Hills, Texas 76118.
[Code 1984, ch. 1, § 12(F)]
It shall be unlawful for any person to willfully inform the police/fire dispatcher, or other police or fire official that an emergency medical service is needed at a location or address when such person knows that such statement is false.
[Code 1984, ch. 1, § 12(G)]
This article is not to limit a subsidy plan with any other municipal government if approved by the majority of the city council.
[Code 1984, ch. 1, § 12(H)]