Request a ride
Tell us about the trip
Send the details below. A coordinator confirms every request by email before it becomes a scheduled trip.
Request transportation
Four short steps. A coordinator confirms every request by email. This form is not for emergencies.
- Step 1 of 4Appointment
- Step 2 of 4Locations
- Step 3 of 4Mobility needs
- Step 4 of 4Contact & confirm
Details that help us plan a safe trip
- Mobility equipment used: wheelchair, walker, cane, or none
- Whether an escort or caregiver will travel with the passenger
- Oxygen or other equipment traveling with the passenger
- Preferred language for the driver or coordinator
- Building access details, gate codes, or entrance instructions
- Return-trip timing if the appointment length is unpredictable