Air Ambulance Request

Air Ambulance Request

Required Documents

  • =Passport copy of patient and companions
  • =Medical report of patient
  • =Fit to fly report from current hospital
  • =Hospital Acceptance Letter
  • =The completed version of our patient pre-authorization form
  • =Visa of all passengers (if required)
  • =Contact information of ground ambulance support or local contact information (current location)
Please enable JavaScript in your browser to complete this form.
Full Name
Email
Click or drag files to this area to upload. You can upload up to 10 files.
• Passport copy of patient and companions • Medical report of patient • Fit to fly report from current hospital • Hospital Acceptance Letter • The completed version of our patient pre-authorization form • Visa of all passengers (if required) • Contact information of ground ambulance support or local contact information (current location)