Transfer Booking Request

Transfer Bookings Requests can be made online. Please fill in the form below and submit it. A Transfer Booking Request Reference Number will be given to you on successful completion of the booking request.

This Transfer Booking Request only replaces having to manually fax a request form. You are still required to phone the SATS Booking Controller on +44 (0)20 3375 6012 prior to completing the Transfer Bookings Requests and again afterwards to confirm the booking.

Any fields highlighted with ** are mandatory.

Transfer Details
** Date of Transfer:      
** Type of Transfer:

** Pickup Address:
** Destination Address:
Patient Details
** Patient's First Name:  
** Patient's Surname:  
** Patient's Sex:  
Patient's Weight (KG):
Patient's Date of Birth:
Patient's Hospital No.:
Patient's Telephone No.:
Medical Details
** Mobility:  
** Diagnosis:
** Infection Status:
Transport Requirements:

Clinical Escort:

Private Escort:

Requesting Hospital
** Requesting Hospital:
** Requesting Ward:
** Completed By:  
** Authorised By:  
** Position of Authority:
Additional Notes