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Edmonton: 780-499-1280

Red Deer: 403-343-1492

Calgary: 403-287-0501

When people's health and their lives are at stake, there is no room for compromise

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Book Your Patient Transport Appointment Online Now

Name: Alberta Paramedical Services Ltd
Address: PO Box 327, St. Albert, AB, T8N 1N3
Telephone: 780-499-1280

Use our convenient online form to schedule a patient transport appointment. Alberta Paramedical Services can provide you or a loved one with a fully equipped and registered medical professional, such as a paramedic or nurse, to accompany you to appointments and trips.

Fill out the form below to schedule your appointment, and feel free to contact us with any questions.

Today’s Date*

Patient Name*

Name of Person Requesting Services*

Contact Phone Number*

Transfer Date*

Pickup Time*

Appointment Time*

If booking is less than 24 hrs, you MUST call Dispatch at 780-499-1838

Return Transfer*

Yes

If yes, is this a wait and return or is this a drop-off and return?

Wait and Return (Wait time charges will be incurred)

Drop-off and Return

If yes, what time for the return?

Escort

Yes

If Yes, Name of Escort

Pick Up Information

Name of Facility*

Room #/Unit

Street Address*

City*

Province*

Destination Information

Name of Facility*

Room #/Unit

Street Address*

City*

Province*

Patient Information

Oxygen*

Yes

Not Sure

Over 250 lbs*

Yes

Not Sure

DNR*

Yes

Not Sure

Isolation*

Yes

Not Sure

Relevant Medical Conditions/Precautions

Additional Information

Do you require us to send you a confirmation?

Yes

If Yes, Email Address or Fax Number:

Please Note: We will contact you to confirm payment information.

If booking is less than 24 hours, you MUST contact Dispatch at 780-499-1838.

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