Complete Medical Transportation
770-987-2798 Atlanta
706-257-4508 Columbus
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WE ARE HERE
BECAUSE WE CARE!



EXPERIENCED MEDICAL TRANSPORTATION SERVICES!

Appointments

Requests should be submitted by 3:00 pm the day before the appointment is needed. Any request for Monday appointments should be submitted by 3:00 pm Friday. Please fill-out the form below, and we'll get back to you shortly. If you contact us via email and do not get a response within 3 hours, please give us a call at 770-987-2798 or 706-257-4508.

Note: Required fields are marked with an asterisk ( * ).

Complete Medical Transportation, Inc.
P.O. Box 361335
Decatur, GA 30036
Office: 770-987-2798
Fax: 770-987-2799
For an appointment call 770-987-2798
Or
Email: completemedtrans@bellsouth.net

Contact Information
First Name: * Address: *
Last Name: * City: *
E-mail: * State: *
Phone:  ZIP Code: *
Fax: 
Male
Female

Services Required: [Check all that apply]
Services
Ambulatory
Wheelchair
Stretcher
Conference Call
Translation/Interpretation
Language

Type of Appointment
Doctor's Visit
Physical Therapy
Surgery
MRI
Other

Will you be traveling with an Escort?

Initially approved destinations:
Doctor/Clinic Full Address Phone

Carrier info:
Claim Number: 
Date of Injury: 
Insurance Carrier: 

Billing Address:
Street:  Required field
City: 
State: 
Zip: 
Phone: 
First Name: 
Adjuster's Name: 
Adjuster's Phone: 
Case Manager's Name: 
Case Manager's Phone: 
Authorized by: 
E-Mail: *

Please include any comments, directions to appointments or other instructions here.:


**AGREEMENT**

The information provided herein is for information purposes only. No offer is made to enter into any contract of any type between you and Complete Medical Transportation. Complete Medical Transportation accepts no responsibility for errors and no warranty of any type is made. Your response is voluntary and constitutes your consent to the release of your information. Submitting your information indicates your acceptance and agreement to these terms.

 

 
 
 
Hospital Discharge
 
Dialysis
 
Radiation
 
Pulmonary
Rehabilitation
 
Cardiac
Rehabilitation
         
Our attention to detail and our commitment to obtaining positive professional results differentiates us from other Medical Transportation companies. We maintain these high standards through experience, resources and pride.
Take Charge. Get Answers. Call Now.
(770) 987-2798
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