Inquiry

This form is the fastest way to get your request to all the organizations that may be able to help you.

Please provide the following information to submit your inquiry. Do not include any information you wish to remain private.

* indicates that field is required

Request type

  Choose if you are a patient, family member, social worker, hospital staff member, or other person needing some type of patient or medical transportation.
  Choose if you need the services of groups flying disaster and emergency relief missions, environmental support flights, animal transport, educational flights, or other missions of community service using aviation.
  Choose if you are a pilot or other person interested in volunteering for one or more groups serving your area. This is for pilots, medical personnel, amateur radio operators, emergency service workers, airport business owners, helpers, and other contributors.
  Choose if you seek general information about all groups serving your own state. This is for anyone interested in charitable flying, including members of the media. If you seek information about groups serving another state, indicate that state here.
  Choose if you seek information for any other reason.

Non-medical request

What type of transportation best describes your needs:

 

 

 

Patient request

What type of transportation best describes your needs: help text

  - able to sit in an airplane seat and not require professional medical care while flying

  - needs to travel on a stretcher or have professional medical care while flying

 , or other medical missions not involving patient transport

Requester

 

 

 

Contact information

Volunteer interest

 

 

 

 

 

 

 

 

 

General interest

 

 

 

 

 

 

 

 

 

 

Travel information

Departing From:

Traveling to:

One Way Round-Trip
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Travel information

Area of coverage location:


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Referral

    

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