Contact or transport request

Transport orders to be carried out on the same day must be placed by telephone: 0800 144 365.

What happens to your details

Your details are stored encrypted and used solely to handle your transport request. The notification to our team contains no health data. We delete the request after 90 days at the latest.

Reason for transport / diagnosis:

Type of transport (lying, wheelchair, seated):

Accompaniment required during examination / consultation:

Collection address:

Destination:

Transport date (if known):

Transport time (if known):

Return journey required:

Patient details:

First name

Surname

Street

Number

Postcode

Town

Telephone

Date of birth

E-mail

Your message

I expressly consent to MoPi.ch AG processing the data I have provided — including health data (reason for transport / diagnosis, date of birth) — in order to handle my transport request. I have read the privacy policy. I may withdraw this consent at any time. Privacy policy*

Fields marked with * are required.

Contact or transport request

Our certifications