Non-Emergency Medical Transportation Patient Intake Form
Form Template
Non-Emergency Transportation specializes in transportation of injured workers to medical appointments.
5,000 Companies save time and money with GoCanvas
In order to set up transportation, patients can fill out the Non-Emergency Medical Transportation Patient Intake Form app. The app is simple to fill out and easy to edit/save. The app asks for: patient contact information, insurance company/health care provider information, and appointment information. The app must be completed in its entirety and submitted for prior authorization to arrange non-emergency medical transportation to medical appointments. Patients can save the app for their medical files.
Not quite right?
GoCanvas accounts come
with hundreds of form templates
Don't take our word for it...
“I’m not a tech guy and I was able to pick this thing up in probably an hour, and actually start to build apps. I’ve done them over lunch when I’ve gotten frustrated with a process that didn’t exist in our company. So for non tech people who’ve got a problem, the support here is awesome and I’d recommend it to anybody, not just in our industry.”
