Papercode Ltd
24 hour contact +44 (0)1392 350 020
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Need to bring someone home?
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Personal Information
Your Name
Email address
Contact telephone number
Repatriation Information
Patient location
Patient destination
Patient Information
Date of birth
Main diagnosis
Please check all that apply:
Ventilated
High-risk Pregnancy
Paediatric Patient
Incubator
Incontinent
On Oxygen
Catheterised
Psychiatric Condition
Terminal Patient
External Pacemaker
Drainages
Infectious Disease
Traction Device
Background Information
Please check all that apply:
A ground ambulance is required
A companion wishes to travel
Repatriation Timescale:
Today
Next week
Next four weeks
Later
Preferred repatriation method:
Air Ambulance
Commercial Airline
Rapid Response
24 hour contact
+44 (0)1392 350 020
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