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Ground Transportation Request
The Houston Ground Angels have received enormous media coverage this year and the number of request for our help to provide free healthcare access to patients in need of transportation to their required healthcare facilities has also been enormous.


To help us accomplish our goal in providing this help we ask that you please fill out the text file form listed here if you would like to be considered as a candidate for one of our ground transportation missions and send it to the email address provided.

If Houston Ground Angels is not able to provide transportation for you and you decide to use a taxicab
Here is important information you will need regarding taxicabs in Houston:

Thank You

.txt) Text File
- Right Click on the link
- Select Save Target As then save it.
  (Recommend Desktop)
- Open the text file just saved w/Notepad
- Fill in required fields
- Send as attachment in email to the
HGA Mission Coordinator 

 
Example of Text File: 
You may copy and use this if desired.

Houston Ground Angels Ground Transportation Request Form

(48 Hour Advance Notice Required)

_____________________________________________________________________

Arrival Information:

            Day of Week:

            Date:

            Flight Arrival Time:

            Airport:

            Airlines:

            Commercial Flt#:

            Terminal (IAH):

            Destination:

____________________________________________________________________

Departure Information:

            Day of Week:

            Date:

            Flight Departure Time:

            Airport:

            Airlines:

            Commercial Flt#:

            Terminal (IAH):

            Origin (Pickup Location):

_____________________________________________________________________

Patient Information:

Patient Name & Age (if Minor):

Companion(s) & Relationship:

Address:

City & State:

Home Phone:

Cell Phone:

Email address:

_____________________________________________________________________

Please send this request as an attachment or copy and paste the information in an email to:

HGA Mission Coordinator

NOTE: PLEASE KEEP ALL ENTRIES IN THE ORDER LISTED IF POSSIBLE.

 

The Houston Ground Angels
 
 

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