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Emergency medical assistance

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

Home Ez-Refer

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.

(begins with R or RE)


(during our business hours)