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ALLFORCES MEDICAL LOGISTICS A DIVISION OF ALLFORCES COURIER LOGISTICS INC.
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Medical Courier Service Request

Professional Medical Logistics & Specimen Transport

📦 Service Request Form: Complete this form to request medical courier services. Our team will review your request and provide a detailed quote within 24 hours. Fields marked with * are required.
You're Requesting
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Change Service

🏥 Client / Facility Information

📍 Pickup Information

✈️ Airport Pickup Details (if applicable)

🚨 CRITICAL TRANSPORT - Hand-Carry / Escort Service

For organ transplants, time-critical specimens, or high-value medical cargo that requires a courier to fly WITH the package to the destination.

⚠️ Hand-Carry Service Details
This is a note, not a field. If hand-carry service is required, fill in the fields shown below ↓

Note: Hand-carry/escort service includes: airline ticket for courier, ground transportation at destination, real-time GPS tracking, direct delivery to receiving facility, and full chain-of-custody documentation.

📍 Delivery Information

⏰ Service Type & Schedule

📋 Service Agreement / Contract Terms

💡 Note: Contract terms allow us to offer volume discounts and priority scheduling for regular clients. Our team will work with you to create a customized service agreement.

📦 Package & Specimen Details

Temperature Controlled Transport
Refrigerated (2-8°C)
Frozen (-20°C or below)
Chain of Custody Required
HIPAA Compliant Handling
Hazardous Materials (requires special certification)
💰 Pricing Information:
Our team will review your service request and provide a customized quote based on distance, service type, special handling requirements, and contract term. You will receive a detailed price quote within 24 hours via email.

📋 Service Agreement

I authorize AllForces Medical Logistics to transport the materials described above and agree to the terms of service. *