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Air Ambulance Network Transfer Inquiry

To schedule a medical transport flight or to receive more information about our air transport services, please fill out the form below. We will get back to you by telephone or by email as soon as possible. Thank you for your interest in Air Ambulance Network.

 

All fields marked with a red asterisk are required. Please double-check the form before submitting.

Transfer Type:

Immediate Future Info Only

Transfer Date:

This transfer is for:

An Individual A Company

Your Name: *
Patient's Name:
Company:
Street Address:
City:
State:
Country:
Zip Code:
Telephone: *
Fax:
E-Mail: *
Relationship to Patient:


Have you used our service before?:

Yes No

Please give a diagnosis of the patient:

Which service will you need?:
Air Ambulance Commercial Stretcher Medical Escort

Number of additional persons:


Transfer FROM:

Name of Hospital / Other:
City:
State / Country:

Transfer TO:

Name of Hospital / Other:
City:
State / Country:


How did you hear about us?

Please specify Name, Type, or Other:

Please add any additional comments:

Please Enter Security Code - 
(Black Letters only)
  

Hit the "Request Quote" button to send your message. Hit "Reset" to start over. We'll review your request and get back to you either by e-mail or by telephone as soon as possible. Thank you very much for your interest in Air Ambulance Network.



All fields marked with a red asterisk are required. Please double-check the form before submitting.









Who is Air Ambulance Network?

Air Ambulance Network is the largest and oldest Air Ambulance service in the Aero Medical Transport business. We have been family owned since 1971. Licensed and insured for Critical Care air ambulance and inter-facility Transfers. The business is family owned and operated.  We are dedicated to providing the highest quality of service available.  Our Mission is to “Provide the safest and most efficient transfer of patients possible without compromising to the quality of medical care”.
Air Ambulance Network is a worldwide network of providers that operate under the direction of Air Ambulance Network.  All transfers are under the direct supervision of our medical director, protocols and our highly experienced critical care medical teams.  Air Ambulance Network provides seamless bedside to bedside service including private air ambulance, Commercial Medical Escort (CME) and International Commercial Stretcher Service. 

Beyond the first call, we do it all. Air Ambulance Network will coordinate all the arrangements and will be there every minute to ensure that every detail is perfect.

Air Ambulance Network will work with all insurances to assist with financial arrangements for the patient.  In addition we accept most all methods of payment.  We pride ourselves in keeping this sometimes costly service as affordable as possible.   Our Commercial Medical Escort program can save you thousands of dollars over the cost of a private air ambulance, if the patient qualifies as most do since our critical care team are approved by most commercial airlines.  We are the most Advanced Air Ambulance service providing Critical Care Med flights worldwide and in the United States.
Our staff is available 24 hours a day every day from our dispatch office at 800.327.1966 or International callers + 727.934.3999.  For more information please visit us online at:
www.airambulancenetwork.com

Air Ambulance Network - 905 Martin Luther King Jr. Dr. #330 * Tarpon Springs, FL * 34689 - Telephone: (727) 934-3999 * FAX: (727) 937-0276
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