Exhibit 3.44

                    CERTIFICATE OF CHANGE OF REGISTERED AGENT

                                       AND

                                REGISTERED OFFICE

                                    * * * * *

          American Medical Response Management, Inc., a corporation organized
and existing under and by virtue of the General Corporation Law of the State of
Delaware, DOES HEREBY CERTIFY:

          The present registered agent of the corporation is Corporation Service
Company and the present registered office of the corporation is in the county of
New Castle.

          The Board of Directors of American Medical Response Management, Inc.
adopted the following resolution on the 1st day of September, 1996.

          Resolved, that the registered office of 1013 Centre Road, Wilmington,
     DE 19805 in the state of Delaware be and it hereby is changed to
     Corporation Trust Center, 1209 Orange Street, in the City of Wilmington,
     County of New Castle, and the authorization of the present registered agent
     of this corporation be and the same is hereby withdrawn, and THE
     CORPORATION TRUST COMPANY, shall be and is hereby constituted and appointed
     the registered agent of this corporation at the address of its registered
     office.

          IN WITNESS WHEREOF, American Medical Response Management, Inc. has
caused this statement to be signed by William George, its Vice President*, this
1st day of September, 1996.


                                        /s/ William George
                                        ----------------------------------------
                                        William George, Vice President
                                        (Title)

*    Any authorized officer or the chairman or Vice-Chairman of the Board of
     Directors may execute this certificate.



                          CERTIFICATE OF INCORPORATION

                                       OF

                   AMERICAN MEDICAL RESPONSE MANAGEMENT, INC.

     1. The name of this corporation is American Medical Response Management,
Inc.

     2. The registered office of this corporation in the State of Delaware is
located at 1013 Centre Road, in the City of Wilmington, County of New Castle.
The name of its registered agent at such address is Corporation Service Company.

     3. The purpose of this corporation is to engage in any, lawful act or
activity for which corporations may be organized under the General Corporation
Law of the State of Delaware.

     4. The total number of shares of stock that this corporation shall have
authority to issue is 3000 shares of Common Stock, $.01 par value per share.
Each share of Common Stock shall be entitled to one vote.

     5. The name and mailing address of the incorporator is: Ann L. Milner,
Ropes & Gray, One International Place, Boston, MA 02110-2624.

     6. Except as otherwise provided in the provisions establishing a class of
stock, the number of authorized shares of any class of stock may be increased or
decreased (but not below the number of shares thereof then outstanding) by the
affirmative vote of the holders of a majority of the voting power of the
corporation entitled to vote irrespective of the provisions of Section 242(b)(2)
of the General Corporation Law of the State of Delaware.

     7. The election of directors need not be by written ballot unless the
by-laws shall so require.

     8. In furtherance and not in limitation of the power conferred upon the
board of directors by law, the board of directors shall have power to make,
adopt, alter, amend and repeal from time to time by-laws of this corporation,
subject to the right of the stockholders entitled to vote with respect thereto
to alter and repeal by-laws made by the board of directors.

     9. A director of this corporation shall not be liable to the corporation or
its stockholders for monetary damages for breach of fiduciary duty as a
director, except to the extent that exculpation from liability is not permitted
under the General Corporation Law of the State of Delaware as in effect at the
time such liability is determined. No amendment or repeal of this paragraph 9
shall apply to or have any effect on the liability or alleged liability of any
director of the corporation for or with respect to any acts or omissions of such
director occurring prior to such amendment or repeal.

     10. This corporation shall, to the maximum extent permitted from time to
time under the law of the State of Delaware, indemnify and upon request advance
expenses to any person who is or was a party or is threatened to be made a party
to any threatened, pending or completed


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action, suit, proceeding or claim, whether civil, criminal, administrative or
investigative, by reason of the fact that such person is or was or has agreed to
be a director or officer of this corporation or while a director or officer is
or was serving at the request of this corporation as a director, officer,
partner, trustee, employee or agent of any corporation, partnership, joint
venture, trust or other enterprise, including service with respect to employee
benefit plans, against expenses (including attorney's fees and expenses),
judgments, fines, penalties and amounts paid in settlement incurred (and not
otherwise recovered) in connection with the investigation, preparation to defend
or defense of such action, suit, proceeding or claim; provided, however, that
the foregoing shall not require this corporation to indemnify or advance
expenses to any person in connection with any action, suit, proceeding, claim or
counterclaim initiated by or on behalf of such person. Such indemnification
shall not be exclusive of other indemnification rights arising under any by-law,
agreement, vote of directors or stockholders or otherwise and shall inure to the
benefit of the heirs and legal representatives of such person. Any person
seeking indemnification under this paragraph 10 shall be deemed to have met the
standard of conduct required for such indemnification unless the contrary shall
be established. Any repeal or modification of the foregoing provisions of this
paragraph 10 shall not adversely affect any right or protection of a director or
officer of this corporation with respect to any acts or omissions of such
director or officer occurring prior to such repeal or modification.

     11. The books of this corporation may (subject to any statutory
requirements) be kept outside the State of Delaware as may be designated by the
board of directors or in the by-laws of this corporation.

     12. If at any time this corporation shall have a class of stock registered
pursuant to the provisions of the Securities Exchange Act of 1934, for so long
as such class is so registered, any action by the stockholders of such class
must be taken at an annual or special meeting of stockholders and may not be
taken by written consent.

     THE UNDERSIGNED, the sole Incorporator named above, hereby certifies that
the fact stated above are true as of this 18th day of June, 1996.


                                        /s/ Ann L. Milner
                                        ----------------------------------------
                                        Ann L. Milner


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