Services

Private Medically Equipped Air Ambulance
Medical Escort
International Commercial Stretcher Service
Why AASI
Levels of Medical Care
FAQs
Scheduling Air Ambulance Service
Flight Tracker
Quote Request Contact Form

Quote Request Contact Form

Medical Air Transportation Inquiry

Please complete all the fields with an asterix (*) in the transfer form below, and a flight coordinator will contact you with information concerning your air ambulance questions or needs. We follow all HIPAA rules and regulations, assuring your privacy.

*Please contact me:
*Contact Name:
Telephone:
*E-mail Address:
*Approximate Date of Transport:
*Origin (City, State or Country):
*Destination (City, State or Country):
*How did you hear about us?:
AASI is contracted with most major insurance companies, please contact me to assist with coverage details:	YesNo
Additional Comments/ Brief description of medical condition of the patient: