Request form

Requesta service.

Fill in the form with the essential details. The request is recorded and assessed by the centre, which will get back to you.

H24 operations centre / 7 days a week

+41 79 230 42 42

01The facility

Facility nameType of organisationCountry

02Contact person

Contact personBusiness e-mailPhone

03The service

Service requestedScheduled or urgent

04Route and timing

Departure countryDeparture locationDestination countryDestination locationDateTime slotEssential logistics description

Do not enter diagnoses, medical reports or identifying health data. The form only collects logistics and contact information.

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