678.545.3083

Veterans Medical Transport
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Patient Forms

Below are frequently used forms for patient transportation.  Request form must be filled out and either emailed or faxed to dispatch.  PCS form must be filled out by the approved providers that are listed at the bottom. 

Request for Transportation (pdf)Download
Physician Certificate Statement (PCS) (pdf)Download
Medical Release Form (pdf)Download

Veterans Medical Transport

175 Walter Way, Suite A

Fayetteville, GA 30214

Dispatch:  678.545.3083

Fax: 678.545.3493

E-Mail: vetmeddispatch@gmail.com


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