At 19:47 hrs. Co. 24 units were dispatched to Mountaindale Rd. and Bethel Rd., in Lewistown for a MVA. FD105 arrived on scene and advised two vehicle accident with one off the road and into wooded area and advised two patients still in the vehicle, and requested a second and third BLS and established Mountaindale Rd. command, bringing A249 and A18 to the scene. E221 arrived and provided traffic control and lighting. RS24 arrived on scene and stabilized the vehicle and assisted A247 with patient care and removal. A247 arrived on scene provided patient care to the driver of the pick-up of the roadway. A249 arrived on scene and provided patient care to the passenger of the pick-up. A18 arrived and provided patient care to the driver of the second vehicle. A247 and A249 transported two priority 3 patients to FMH and A18 had a refusal. FD105 terminated command at 20:25.