Below is a sample of the emails you can expect to receive when signed up to Medical Transport Services.
Hello Mia Scott,
Thank you for requesting a quote from Medical Transport Services. We look forward to providing you with great pricing and excellent service. Our staff may need to contact you by phone to finalize your quote and if so they will contact you within 24 hours.
It looks like you are requesting a quote from 226 Langham Road London, Jon to 240 Langham Road London, Jon.
Will send that information to you just as soon as possible.
Sincerely,
The Medical Transport Services Staff
Data Name | Data Type | Options |
---|---|---|
Phone:* | Text Box | |
First name | Text Box | |
Last name | Text Box | |
Text Box | ||
Phone | Text Box | |
Home address | Text Box | |
City | Text Box | |
State | Text Box | |
Zipcode | Text Box | |
checklist | Transport Type:* | |
checklist | Ground Transport | |
checklist | Commercial Medical Escort | |
option | Date Flexable: | |
option | Yes | |
option | Additional InformationOxygen Required: | |
option | Yes | |
option | NoFamily Member Traveling?: | |
option | Yes | |
option | NoSmall Pet Traveling?: | |
option | Yes |