Name: iFixOrlando
Address: 6239 Edgewater Dr e3, Orlando, FL 32810, United States
Telephone: +1 321-355-4648
Price range: $
Rating: 4.9

Select Method of Tranportation

Wheel Chair
Stretcher

Select patients approximate weight

Less than 100lbs
100 - 150lbs
150 - 200lbs
200 - 250lbs

Does patient have contact precautions?

Covid
Flu
Other
No

Will an escort or chaperone travel with the patient?

Yes
No

Patient’s First and Last Name

Patient’s Current Room Number

(PickUp Location) - Enter Facility Name

(PickUp Location) - Enter Facility Address

Address Line 1

City

State

(DropOff Location) - Enter Facility Name

(DropOff Location) - Enter Facility Address

Address Line 1

City

State

PickUp Time

RBYS Patient PickUp