Edenbridge Voluntary Transport Service
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please fill in as much as possible
Passenger Name
Pickup Address
Post Code
Telephone Number
E-mail Address
How many passengers?
Are any of the passengers children?
No
Yes
If so, what age?
Do you have the necessary child seat?
N/A
No
Yes
Are you able to get in and out of a car unaided?
No
Yes
If no, what assistance do you need?
Do you need to take any walking aids with you, other than a stick?
Will you need us to borrow a wheelchair for you at your destination?
No
Yes
What is your destination?
Tunbridge Wells Hospital at Pembury
Maidstone Hospital
Queen Victoria Hospital, East Grinstead
Sevenoaks Hospital
Edenbridge Hospital
Edenbridge Medical Practice
East Surrey Hospital
Other...
If other
If you are going to a hospital, what department are you attending?
What is the day and date of your appointment?
Ideally we need 2 working days notice of a request
What time is your appointment?
How long is your appointment likely to take?
We realise that one often has to wait to be seen but if you can find out how long your actual appointment will take this will help us to find you a driver.
PLEASE NOTE THAT WHILE WE PROVIDE DOOR TO DOOR TRANSPORT WITHOUT CHARGE WE DO DEPEND OF DONATIONS FROM PASSENGERS FOR OUR SURVIVAL. ANY DONATION, LARGE OR SMALL, IS WELCOME. FOR GUIDANCE IT TYPICALLY COSTS US THE FOLLOWING FOR A RETURN JOURNEY:
£10 TO SEVENOAKS HOSPITAL
£16 TO TUNBRIDGE WELLS HOSPITAL
£24 TO MAISTONE HOSPITAL
£33 TO CENTRAL LONDON (PLUS THE CONGESTION CHARGE)