Transport / Repatriation Booking Request

Please fill in the below form to receive a quote. This is provided on a no obligation basis and the terms and conditions of service (viewable by clicking this link) only become effective upon confirming and accepting the booking. Please note that our standard terms of business for payments / invoices are 14 days, a 20% charge will be added for late invoices / payments and by accepting cover, you are agreeing to these terms.IMPORTANT: Please read through our Terms and Conditions of service before requesting cover (click this link to open a new page containing our terms and conditions)

    Please complete the below fields to request cover for Medical Repatriation / Escort or to transfer a patient.

    The fields marked as ‘*’ are mandatory

     

    • Contact Information

    • Transfer Information

    • Date Format: DD slash MM slash YYYY
    • Address of Pickup

    • Address of Drop off

    • Requested Dates

    • :
    • Date Format: DD slash MM slash YYYY
    • Risk Assessment

    • Medical Staff Requirement

    • Patient Group

    • Type of Transfer

    • Patients Transfer Type / Mobility

    • Additional Needs

    • Please enter a discount code here if you have one
    • Notes / Additional Information

    • Enter any additional information that you feel is relevant to this booking here
    • Enter the details of the person / manager that has authorised this request here
    • Data Protection Agreement

    • Please click below to consent to A B Medical Services (UK) Ltd holding data about this form and /or inquiries made hereafter in line with the current Data Protection / GDPR legislation. We are registered as a data controller / processor with the UK ICO. A B Medical Services (UK) Ltd will never use your data without consent and will never share this data without explicit consent. Please refer to our full Data Protection policy.
    • Terms and Conditions

    • Tick this box to confirm that you have read and accept our standard terms and conditions of service. These will become active at the point of accepting cover in writing or by e-mail with the operations department. Please note that our standard terms of business for payments / invoices are 14 days, a 20% charge will be added for late invoices / payments and by accepting cover, you are agreeing to these terms.
    Staff Portal

    Data Protection

    A B Medical Services (UK) Ltd  may hold data about submissions and /or inquiries made hereafter in line with the current Data Protection / GDPR legislation. We are registered as a data controller / processor with the UK ICO. A B Medical Services (UK) Ltd will never use your data without consent and will never share this data without explicit consent. Please refer to our full Data Protection policy.

    Contact Us

    Call: +44 (0)8443 100 150

    24/7 Contact: +44 (0)7590 542 513

    E-mail: operations@ab-medical.co.uk

     

    A B Medical Services (UK) Limited

    1 Clifford Crescent,

    Sittingbourne,

    Kent,

    United Kingdom,

    ME10 3FL