For Providers

Transfer Center and Transport Requests

Published On 07/11/2011

(901) 287-4408
1-888-899-9355

Referral Survey and Feedback

If you have any suggestions or feedback for us to serve you better, please take a moment to complete this brief survey or contact our medical director, Jay Pershad MD

Click here to complete the survey.

Transfer Center

The Le Bonheur Transfer Center is on standby 24 hours a day, to facilitate patient transports and transfers. Call the Transfer Center for the following:

Transport/Pedi-Flite Checklist

1. Call the Transfer Center at 1-888-899-9355 to arrange for transport. Your call will be immediately answered by a transport communication specialist who will record:

  • Your phone number at the facility
  • Patient Name
  • Patient DOB
  • Patient weight
  • Complaint
  • Vital Signs
  • Be prepared to give report on the patient to our MD

2. Please copy the patient’s medical record, including lab. data and reports of other recent diagnostic/studies of patient.

3. Provide a disc or hard copy of any radiologic studies (x-rays, CT scans, etc.).

4. Fax the patient’s demographic (registration information) sheet to (901) 287-5161.

Complete 5-9 For Pedi-Flite Transports:
Prior to transport:
5. Have physician complete and sign the ‘Certificate of Medical Necessity’ form.

6. Please complete and have the parents sign the following forms:

  • “Authorization to Transport” form
  • “Blood Products Consent” form (if needed)

7. Notify the family that one parent may usually ride with the patient in the ground ambulance. Helicopter transports do not allow space for a parent to ride.

8. Please provide our Pedi-Flite team with copies of the following:

  • Patient’s medical record
  • Transfer summary (if appropriate)
  • Enclosed “Certificate of Medical Necessity” form
  • Laboratory test results
  • Radiographic Studies (disc or hard copy)
  • Name, address, phone number of MD referring patient to aid in providing follow up information.

After transport:
9. Please complete brief online survey or contact us online at www.lebonheur.org/Pediflite with feedback on our performance.

10. For follow up information please call 1-888-899-9355 or (901) 287-4463.

Referral Survey and Feedback

If you have any suggestions or feedback for us to serve you better, please take a moment to complete this brief survey or contact our medical director, Jay Pershad MD. Thank you for your referral!

Click here to complete the survey.