Mission Request Pack

All forms must be completed-in-full by the patient with the exception of the Physician’s Release which must be completed by the patient’s physician and submitted before a flight can be considered.

Thank you for your interest in LifeLine Pilots.

To get started, there are 2 options:

1) Download the Mission Request Packet

Download the PDF, fill out all documents, then fax it to the number on the forms, or drop it off to the address at the top of the form.

2) Fill out the forms online

Each of the forms in the packet are available to be filled out and submitted online. Please make sure you fill out and submit each one that needs to be filled out by you.