Transport order

    Patient information

    Payer information

    Informations about transport

    Pickup address

    Destination address

    This contract reffers to the service of medical transport by ambulance with the crew, offered to the Ordering Party by NORD AMBULANSE for the price specified in the offer. The condition for booking the medical transport service is sending this order and confirmation of payment by e-mail to

    Cancellation fees:

    Up to 72h before the team's departure -30%, 72h - 24h before the departure -50%, less than 24h or "no show" is -100%. All changes to the schedule or itinerary must be confirmed in writing by the Customer and may result in a price change.