medical transportation service grand junction co
Call to Schedule Medical Transporation
Text or Call to Get a Taxi

Forms

25 Mile Form
Child Release Form

Both forms are PDFs. Please save, complete, and email your appropriate form.

We’re here to help! If you need assistance with completing this, please call our office @ (970) 314-9511.

Instructions for saving, completing and emailing your form.

Open form by clicking the appropriate button above. Download form by clicking the download icon or right-clicking and selecting “Save as”.

Step 1: Save the PDF to Your Computer
Step 2: Fill Out the PDF
Step 3: Save the completed version of the pdf before and close it.
Step 4: Email the Completed PDF to Scheduling@medlift.org