Thousand Island Emergency Rescue Service (TIERS)

Thousand Islands Emergency Rescue Service is the 9-1-1 ambulance service provider for the towns of Clayton and Orleans in Jefferson County, New York. Our
response district is 154 square miles of mostly rural terrain and encompasses a large portion of the St. Lawrence River along the US/Canada border. We staff
paramedics 24/7/365 and supplement our capabilities with paid and volunteer Emergency Medical Technicians and drivers. A not-for-profit service, TI-RESCUE
commitment to community service and excellence by initiating programs in public health and safety awareness, and our assistance to neighboring towns, helped
make us the New York State Department of Health’s 2008 EMS Agency Of The Year. TI-RESCUE proudly sponsors this page for the public to share our mission.