Schedule a Ride
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Read the following before scheduling :

Please Ensure you read everything.

  • REQUIRED INFORMATION:
    • Legal First and Last Name
    • Medicaid Number
    • Phone Number
    • Date of Appointment
    • Pickoff Address and Time
    • Dropoff Address and Time
    • Return Dropoff Address and Time (optional)
  • Rides must be scheduled at least 24 hours in advance.
  • If you have any special requirements (such as a disability), please note them in the additional information section.

Click “I Agree” to proceed.

First Name
Last Name
Phone Number
Medicaid ID
Additional Information (e.g., any special transportation requirements)
Pickup Location
Dropoff Location
Pickup Date Pickup date must be at least 24 hours after the current time.
Pickup Time Please allow atleast 1 hour between your pickup time and your appointment time.
Trip Type

Review Your Details

First Name:

Last Name:

Phone Number:

Medicaid ID:

Pickup Time:

Pickup Date:

Pickup Location:

Dropoff Location:

Trip Type:

Additional Information: