Need to build a hospital in order to use an ambulance?
Do you....
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Yes you will need hospitals for ambulances
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You can use an ambulance without a hospital, however you will not be able to transport patients so you will only get partial payment
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If you don't have a hospital and if your in a clan, you can send your rigs to their hospitals if they have any. It comes at a price though as they can set the admission fee from Free to 50%. Most people in my clan do 20% but it's completely up to them. As said above, you don't have to send them.
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As the guys above have said you don't need a hospital but I would always get one first as it will maximise your earnings
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