Non-Emergency Medical Transportation Trip Log

Form Template

The Non-emergency medical transportation logs app makes it easy for medical transportation providers to complete trip log details and capture the driver's signature electronically.

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Created by: Team GoCanvas
Type: Logs
Language: English
Country: United States of America

Designed for non-emergency ambulance and transportation providers, the Non-emergency medical transportation logs app is accessible from any smartphone or tablet. Non-emergency transportation provider companies can customize the form to meet their covered services.

The non-emergency ambulance transportation app can be used to track each transportation request and covers details about the clients, facility they were transported to, agency name and other important client data. This information can be used to for reimbursement from the medical provider, Medicaid services or for payment directly from the client.

  • Signature Capture
  • Submission Editing
  • Reference Data
  • Dispatch
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  • iPhone
  • iPad
  • Android
  • Windows
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  • Quickbooks
  • Salesforce
  • Google Docs
  • Dropbox
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*The Capterra SoftwareAdvice ​and GetApp logos are a service mark of Gartner, Inc. and/or its affiliates and is used herein with permission.*

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