AIR MEDICAL TRANSPORT CHECKLIST

Call our Flight Coordination Team any time at 855.916.9747 Provide patient information necessary to prepare a quote:

Sending facility name and locationDestinationDate of birth

Share an email address to receive a written quote

FLIGHT QUOTE The Angel MedFlight team...

Verifies patient’s insurance flightbenefits (if applicable)Delivers a verbal and writtenflight quote

Medical conditionInsurance detailsReason for transport

Patient information necessary to prepare an itinerary: Face sheetHistory and Physical (H&P)Recent progress notesOfficial ID card with patient’s full nameInsurance card, front and back (if available)Current Medication Administration Record (MAR)Accepting facility and physician information

Provide the name, number, and email of the individual responsiblefor signing the air medical service agreement (POA if applicable)One or two traveling companions may accompany the patientdepending on patient’s condition and equipment requirementsIn compliance with TSA, traveling companions must providefull name, photo ID, date of birth, and weight

The Angel MedFlight team…Handles all of the air and ground transport logisticsManages entire insurance process including authorization for flight Communicates with accepting facility, the patient, and the patient’s familyPrepares itinerary with estimateddeparture and arrival times

PRE-FLIGHT COORDINATION

Please complete the following items prior to Angel MedFlight’s arrival:Send discharge summary transfer to us as soon as it is available:

Fax to 844.404.3948 or email to flights@angelmedflight.comPlease include a transfer/discharge packet for the accepting facility

Maintain any current IV accessHold tube feedings 2 hours prior to departure time*Provide all scheduled medications, small meals, or treatments prior to discharge

DAY OF TRANSFERWhen on-site, our Critical Care team…

Performs nurse-to-nurse report forcontinuity of careAssists with transferring the patient from the facility’s medical equipment to Angel MedFlight’s mobile unitsProvides safe Bedside-to-Bedside transport

* Exceptions may apply based on the patient’s condition.

Our Flight Coordination Team is available 24/7855.916.9747 | 480.634.8017 International | AngelMedFlight.com

EXPERTISE YOU CAN COUNT ONAngel MedFlight’s Critical Care clinicians hold advanced carecertifications: CFRN or FP-CNAAMTA accredited for patient care and safetyOur contracted air carriers provide medically-configured jets forgreater speed, longer range, and smoother flights

ACUTE AND SPECIALTY CAREOrgan transplantPediatric casesBurn and wound patientsTraumatic brain injuriesSpinal cord injuriesStatus post traumaRespiratory illnessOncology patientsHospice transfers andpalliative care

IN-FLIGHT ICU CAPABILITYVentilator managementMultiple drips and IV medicationsChest tube managementCardiac monitoringO2 managementNutritional supportACLS / PALSCentral line managementInvasive pressure monitoringRapid sequence intubation

Angel MedFlight utilizes the services of sole and exclusive FAA F.A.R. Part 135 license holders.

855.916.9747 | AngelMedFlight.com480.634.8017 International | Fax 844.404.3948

AMY VAN DYKEN-ROUEN | PATIENT ADVOCATEIn 2014, Angel MedFlight transported 6-time Olympic Gold MedalistAmy Van Dyken-Rouen after she was paralyzed in an accident.

TIME-SAVING COORDINATIONDedicated team with 24/7 availability at 855.916.9747Experienced Organ Transplant Services TeamComplete air and ground coordination of bedside-to-bedside transportsManagement of insurance process, including flight authorizationsDomestic and International service for adult and pediatric patients

STREAMLINED MEDICAL FLIGHTSTO SAVE YOU VALUABLE TIME