How It Works
Let’s Get Your Patient to Care, We are Here to Work Together.
Who’s Eligible for Travel Assistance
What You'll Need to Complete a Travel Request
Proof of Income
Most recent tax return, SSI/Disability benefits letter, last 3 months of bank statements may be requested
Medical Appointment Verification
Letter from provider, screenshot of patient portal, or appointment confirmation email
Patient Information
Full legal name, date of birth, home address, phone number, email, military status
Appointment Details
Date, time, treatment facility name and address
Provider Information
Physician's name, phone number, and email address
Caregiver Information (if traveling with patient)
Full name, date of birth, relationship, phone number



