Requestors

We are here to support EMTs, first responders and medical professionals in the quest to provide lifesaving care. The Mercy Health Life Flight Network provides both air and ground transportation services, responding directly to emergency scenes and offering interhospital transport for critical emergent patients.

Scene Response

Air transport services are often requested simultaneously with ambulance services. If you have questions about when and how to request scene response, please reach out to our transport team.

Scene Response
Questions & General Information	419.251.7385
Request our Transports: Air & Ground	Dispatch: 419.245.6220
Request our Transports: Air & Ground	Fax: 800.395.2593

Hospital Requestors
Toledo Region: Wheelchair & BLS/ALS Ambulance Services
Dispatch: 419.245.6220	Fax: 419.251.7006

ALS/BLS Patient Forms

Certification of Necessity for Transportation by Wheelchair Van Form

Certification of Necessity for Transportation by Ground Ambulance Form

All Flight & MICU Patient Forms

Critical Care Transport Justification Form

Ambulance Signature/Claim Submission Authorization Form

Continuing Education Opportunity

Requestors are invited to join us for monthly, one-hour patient outcome events via Zoom, where we’ll cover recent scene flights. Participants who complete the event and required forms afterward will be eligible for CEUs.

Learn More & Register For An Upcoming Session