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BOOK YOUR PATIENT TRANSPORT APPOINTMENT ONLINE NOW

Use our convenient online form to schedule a patient transport appointment . Alberta Paramedical Services Ltd 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.

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

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 hours, you MUST call Dispatch at 780-499-1838.

Return Transfer*

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

If yes, what time for the return?

Escort

If Yes, Name of Escort

Pickup Information

Name of Facility*

Room #/Unit

Street Address*

City*

Province*

Destination Information

Name of Facility*

Room #/Unit

Street Address*

City*

Province*

Patient Information

Oxygen*

Over 250 lbs*

DNR*

Isolation*

Relevant Medical Conditions/Precautions

Additional Information

Do you require us to send you a confirmation?

If Yes, Email Address or Fax Number:

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