Contact — B.I.T.S.

Book an appointment

Please schedule your appointment here. Call (470) 263 0056 for a price estimate and a confirmed scheduled appointment.

PLEASE SCHEDULE PICKUP TIME AT LEAST 60 MINUTES BEFORE APPOINTMENT

PLEASE ALLOW UP TO 60 MINUTES FOR RETURN PICKUP

NOTE: Private pay customers, please submit payment 1 day prior to appointment

Patient Name

First Name

Last Name

Scheduler Name

First Name

Last Name

Phone Number

(###)

###

####

Facility

Pickup Month

Pickup Day

Pickup Year

Pickup Time

Pickup Time of Day

Appointment Time

PLEASE ALLOW 60 MINUTES BETWEEN PICKUP TIME AND APPOINTMENT TIME

Appointment Time of Day

Pickup Address

Drop Off Address

Transport Option

Travel Preference

One-Way

RoundTrip

Patient Approximate Weight (lbs)

Will Patient be Accompanied by a Relative or Aid?

Yes

If Yes, provide name and phone number of relative/aid.

Special Instructions

PLEASE ALLOW UP TO 45-60 MINUTES FOR RETURN PICKUP

Book an appointment

PLEASE SCHEDULE PICKUP TIME AT LEAST 60 MINUTES BEFORE APPOINTMENT

PLEASE ALLOW UP TO 60 MINUTES FOR RETURN PICKUP

Blendistry Incorporated Transportation Services

Contact Info:
Blendistryinc@gmail.com
(470) 263-0056

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Book an appointment

PLEASE SCHEDULE PICKUP TIME AT LEAST 60 MINUTES BEFORE APPOINTMENT

PLEASE ALLOW UP TO 60 MINUTES FOR RETURN PICKUP

Blendistry Incorporated Transportation Services

Contact Info:Blendistryinc@gmail.com(470) 263-0056

Navigation

Contact Info:
Blendistryinc@gmail.com
(470) 263-0056