AUTHORIZATION FORMS

We Prioritize Your Safety at Need-a-Lift 

Medical Transportation Indianapolis — Wheel Chair Transportation Service in Indianapolis, IN

At Need-a-Lift we provide transportation services with you in mind! Your health and safety comes first, which is why we require specific forms to be completed before we can offer our professional lift services. Please download, print, and fill out the appropriate forms. Fax the information directly to our office at (317) 244-3590.


You may keep a copy of the forms for your personal documentation. If you have any questions regarding the Authorization Forms or submission process, please contact us at (317) 244-1314 and a representative would be happy to assist you.



Medical Transportation Indianapolis — Wheel Chair Transportation Service in Indianapolis, IN

At Need-a-Lift we provide transportation services with you in mind! Your health and safety comes first, which is why we require specific forms to be completed before we can offer our professional lift services. Please download, print, and fill out the appropriate forms. Fax the information directly to our office at (317) 244-3590.


You may keep a copy of the forms for your personal documentation. If you have any questions regarding the Authorization Forms of submission process, please contact us at (317) 244-1314 and a representative would be happy to assist you.


http://www.needaliftin.com/authorization-forms/4585790107

Share by: