| El Paso Critical Care Transport |
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In order to process your request, we will need the following information at the time the request is made:
1. Reason for Transport
2. Level of Care and Equipment Needed
3. Patient Demographics and Third Party Billing Information
4. Medical Necessity Form (Click here to open and print form)
1. Reason for Transport
2. Level of Care and Equipment Needed
3. Patient Demographics and Third Party Billing Information
4. Medical Necessity Form (Click here to open and print form)
| Upon acceptance of your transport, please fax the following to our office at (309) 527-6146: |
1. Face sheet with Social Security number and billing information.
2. Completed Medical Necessity Form.
2. Completed Medical Necessity Form.
Required Information