Yes I do indeed ~ always better to be proactive in an emergency plan for the worst and hope you never need it.

My contract and handbook clearly states that in a medical emergency where parents cannot be reached or it is felt there is no time to wait for them to arrive for transporting to treatment that an ambulance will be called, the child will be transported alone to the hospital and a parent or emergency person will be notified to meet them there and yes that the cost of the ambulance will be billed to the client.