Thank you for choosing CTI for your patients’ transportation needs.
In order to process the medical transport order, we will need the following information
- Patient Demographics: Patient Name, Insurance, Employer, Attorney, Diagnostic (if available)
- Date and time of requested services
- Date, time, and destination of appointment
- Doctor prescription (RX) for a request for transportation including medical reason with doctor’s signature
- Transposition necessity form (doctor’s signature required)