Contact Us

Please complete the form below as thoroughly as possible. Click the submit button and you will be contacted by a resource specialist no later than the next business day.

 

Name:
Address:
City:
State:
Zip:
Phone:
E-mail:
Preferred Contact Method
Patient's Name:
Patient Departing From:
Patient Destination:
Estimated Date of Travel:
Reason for Patient Travel:

Below is the address and contact information for the National Patient Travel Center.

National Patient Travel Center
4620 Haygood Rd, Ste. 1
Virginia Beach, VA 23455

Administration Number
1-757-512-5287
Patient Number
1-800-296-1217
Fax Number
1-800-550-1767

E-mail: info@nationalpatienttravelcenter.org

 
© 2010 National Patient Travel Center