Transdev’s fax number is (630) 873-1450.

If any of the forms do not open in your browser, right-click on the link and select Save Link As (or Save Target As). Save the file to your computer, then open the saved file in Adobe Acrobat.

• For transport originating at a hospital or long-term care facility, complete HFS 2270, Physician Certification Statement (PCS) for Ambulance Transport.
• For residential transports, complete the CTS Form. For instructions on when to use this form, refer to Illinois Department of Healthcare and Family Services (IL HFS) provider notice dated 4/22/22. This change went into effect June 1, 2022 according to IL HFS provider notice dated 4/29/22.
• HFS 2270 Physician Certification Statement and Transportation Provider Complaint Portal
• Transportation PowerPoint Presentation for HFS 2270, Physician Certification Statement
• Standing Prior Approval (SPA) Form
• Single Trip Form
• Psychiatric Services Treatment Plan Form for CAP/GAP Providers
• Psychiatric Services Treatment Plan Form for Provider Type 36 (LPHAs)
  Click here to view instructions for this form.
• HFS 3701T Therapy Prior Approval Request Form
  Click here to view instructions for this form.
• Complaint Form