Travel Solutions

HME Specialists offers Oxygen travel coordination for established patients. Please fill out the below information and someone will be in contact with you.

Please make sure your request is submitted at least 14 days prior to your travel dates. If less than 14 days please contact Customer Service directly to place your request.

866-690-6500

"*" indicates required fields

Are you an existing patient of HME Specialists?*

Yes

Travel coordination is only available to current patients of HME Specialists. If you are interested in transitioning your services to HME Specialists click here for more information.

Please complete your Travel Details:

Name of Traveler*

First Last

DOB of Traveler*

Address*

Street Address Address Line 2 City State ZIP Code

Please note that HME Specialists will not be able to support any Travel outside the United States

Dates of Travel:

Start Date*

End Date*

Mode of Travel:*

Additional Comments:

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