For Doctors – Patient Transportation Service

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)

Download the forms:
Physician Form
Attorney Certification Form