Online Appointments

Use our form

Visitor Information


Make an Appointment


Patient Services
CSE Search Patients
Home > Services > Transport & Emergency Services > Events & Outreach > UVA Pegasus Observer Application

UVA Pegasus Observer Application

Thank you for your interest in our ride-along program.

Which Pegasus Critical Care Transport service do you want to observe?  

characters remaining
Observation Date: First Choice   Choose only Wednesdays, Saturdays, Sundays
/ /  
Observation Date: Second Choice   Choose only Wednesdays, Saturdays, Sundays
/ /  
Observation Date: Third Choice   Choose only Wednesdays, Saturdays, Sundays
/ /  
Do you have any medical condition that may impact your ability to fly with Pegasus  

Emergency Contact Information
Primary emergency contact information is required, secondary is optional
characters remaining

characters remaining

Acknowledgement of Risks and Statement of Confidentiality I request to participate in the University of Virginia "Ufly" ride-along program with Pegasus. I have been advised of and understand the risks and dangers associated with participation in this emergency air/ground medical program. Nonetheless, I assume the inherent risks by voluntarily participating in the ride-along Program. I agree to abide by all rules and regulations applicable to the ride-along Program. I understand and agree that patient confidentiality is to be maintained at all times. I also understand and agree that at no time will I provide direct patient caring during my participation in the Ride-along Program, unless, as an attending physician, I am requested to do so by the flight nurse/paramedic. I further verify, that I have no medical condition that would in any way interfere with the ability of the crew or program to provide patient care or complete a mission. CONFIDENTIALITY STATEMENT: As a ride-a-long participant, who will be observing at the University of Virginia Medical Center and Pegasus Program, it is important for you to understand that patients have the right to privacy and confidentiality. You must respect the rights of our patients and must not discuss any names or personal information which you may learn about a patient as you observe the program.
Emergency Transport

Get Emergency Transport:

In Virginia, call 800.552.1826 

Out-of-state, call 800.882.4354       

UVA Transfer Center

Call 844.XFERUVA (844.933.7882) to transfer your patient to UVA.

Nonemergency Transport

Call 434.982.2000 or submit the online transport request form