Louisiana

UA/UC REPORT

Please fill out the following form.

Reporting Person Name

Date

UA/UC Description

I declare that the info I’ve provided is accurate & complete

Thanks for submitting!

OUR SERVICES

LOCATIONS

CONTACT US

- NEMT Services for Ambulatory Patients

- NEMT Services for Non-Ambulatory Patients

- Services for Behavioral Patients

4650 West Esplanade Suite 200

Metairie, LA 70006

Shuttle Service: 337-443-4830

Behavioral Health Transports: 877-577-1440

Fax: 504-308-1405

bottom of page