Conversion Buttons – Escort, Domestic, & International - REVA Air Ambulance

USA: 800-752-4195

INTERNATIONAL: +1-954-730-9300

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- - Video: Learn more about REVA.
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- - Question? CALL +1-954-730-9300 OR CHECKOUT OUR FAQS
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- - We Can Reach Patients Even in Remote Locations
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What We Cover
- - Esteemed by international agencies.
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March 6th, 2024 |

Conversion Buttons – Escort, Domestic, & International

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Free Medical Repatraition Quote

Complete REVA’s quick and easy request form and get your air ambulance or medical escort quote, or call 1-954-730-9300.

REVA Accepts most major insurance. Humana in network.

Financing available for Florida residents.

call 1-877-861-7382

Your Name*
Your Phone*
Your Email*
How did you hear about us?
Who referred you?
Pick-up Location*
Drop-off Location*
Patient Age
Please enter a number from 0 to 150.
Type of Transport?*
- Air Ambulance
- Medical Escort *
*Stable patient for commercial transport required
Does patient have insurance?
- Yes
- No
Is there a physician referral / doctor’s order for transport?
- Yes
- No
Patient Insurance Company Name
What else would you like to tell us?
Patient Name*
Patient Date of Birth*
MM slash DD slash YYYY
Primary Insured Name*
Insurance Policy Number*
Insurance Group Number*
Insurance Company Phone*
Email
This field is for validation purposes and should be left unchanged.

Free Air Ambulance Quote

Complete REVA’s quick and easy request form and get your air ambulance or medical escort quote, or call 1-954-730-9300.

REVA Accepts most major insurance. Humana in network.

Financing available for Florida residents.

Your Name*
Your Phone*
Your Email*
How did you hear about us?
Who referred you?
Pick-up Location*
Drop-off Location*
Patient Age
Please enter a number from 0 to 150.
Type of Transport?*
- Air Ambulance
- Medical Escort *
*Stable patient for commercial transport required
Does patient have insurance?
- Yes
- No
Is there a physician referral / doctor’s order for transport?
- Yes
- No
Patient Insurance Company Name
What else would you like to tell us?
Patient Name*
Patient Date of Birth*
MM slash DD slash YYYY
Primary Insured Name*
Insurance Policy Number*
Insurance Group Number*
Insurance Company Phone*
Phone
This field is for validation purposes and should be left unchanged.

REVA, Inc. FAA Carrier Certificate #O2JA595N
Aero Jet International De PR, Inc. FAA Carrier
Certificate #Q6JA227M

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