AIR AMBULANCE CONTACT FORM Send a message directly to one of our aviation advisors About You Firstname *: Surname *: Telephone: Email: Your Air Ambulance Requirements Type of Air Ambulance:I require a Hospital to Hospital serviceI require a Bed to Bed serviceI require another service Mobility:The patient will be on a stretcherThe patient will be in a wheel chairThe patient is able to walk with assistanceThe patient is able to walk unassisted Assisted Travel?A medical professional will accompany the patientThe patient will be unassisted Do you have a medical report?I have a medical report for the journeyI do not have a medical report Is this a person hire or under medical/travel insurance?This journey is self fundedThis journey is funded by insurance Other information Message: Please be advised we do not make hospital arrangements, you are required to have organised a suitable bed at the destination location prior to departure. Share this:Click to share on LinkedIn (Opens in new window)Click to share on Twitter (Opens in new window)Click to share on Facebook (Opens in new window)Click to share on WhatsApp (Opens in new window)
