G-J4P5P3F3QP
top of page

Our team is dedicated to minimizing the spread of COVID-19, The safety and well-being of passengers, employees, and contractors is our top priority. To provide a safe transport experience, we encourage you to submit the online COVID-19 Attestation so we may best prepare to meet your transportation needs while protecting our drivers and other passengers.  We appreciate your patience during these unprecedented times.

Covid-19 Attestation and Safety 

To prevent the spread of COVID-19, we ask that you complete this form when requesting a trip or reservation

       In our ongoing commitment to prioritize your safety and well-being, we kindly request that you complete the COVID-19 form provided. This information is vital for our team to adequately prepare for your scheduled trip, ensuring that we can provide the highest standard of care during your transportation.
 

     By completing the COVID-19 form, you enable us to tailor our services to your specific needs. This includes the strategic selection of personal protection equipment (PPE) for our team, taking into account any unique health considerations you may have. Additionally, the information you provide assists us in choosing the most suitable vehicle, guaranteeing a safe and comfortable journey that aligns with your health requirements.
   

    Your cooperation in filling out this form contributes significantly to our shared goal of maintaining a secure and supportive environment for all our passengers. Rest assured that the details you provide will be treated with the utmost confidentiality, in accordance with our commitment to safeguarding your privacy.
   

      We sincerely appreciate your collaboration in this matter, as it allows us to uphold the highest standards of safety and service excellence. If you have any questions or require further assistance, please do not hesitate to contact our customer service team.
 

Thank you for choosing Non-Emergency Medical Transport by Auridan Collaborative for your premier transportation needs. We look forward to providing you with a safe and comfortable journey.
 

Best Regards,

COVID-19 Attestation

Please fill out the following form for any in-person services 

Any recent exposure, or close contact with person diagnosed or suspected with COVID-19
In the last 14 days, have you recently had a fever greater than >100.4
In the last 14 days, are you experiencing any signs of (e.g. runny nose, cough, sore throat, difficulty breathing, body aches, sudden loss of taste or smell, chills/shaking, )
Are you living with or caring for an individual with known or suspected COVID-19?
Are you living with or caring for an individual with known or suspected COVID-19?
Are you living with or caring for an individual with known or suspected COVID-19?

We have received your submission and look forward to providing your premier transport service. If you have any further questions or concerns, please don't hesitate reach out.

bottom of page