Skip to content

Emergency medical assistance

A bilingual team available 24 / 7,
anywhere around the world!

EZ-Refer referring form

To be used by authorized referring parties only. You don’t have a code and wish to become a representative? Use this form instead.

Fill out this short form. An agent from Customer Service will call the client at the desired time.


Our agents will be pleased to call referred clients between 8:30 AM and 5:00 PM (EST), Monday to Friday. 

(begins with R or RE)

(during our business hours)