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.