Schedule a Ride

Full name*

Full name is required

Cell phone number*

Phone is required

Pick up address*

Pick up address is required

Drop off address*

Drop off address is required

Date*

Date is required

Time*

Time is required

Age*

Weight*

Weight is required

Email address*

Email address is required

Trip type*

One-way

Round trip

Trip type is required

Healthcare facility discharge*

Yes

Vehicle type is required

Vehicle type*

Wheelchair Van

Ambulatory

Vehicle type is required

Comments*

Cost calculation:

Total price

Distance price

AfterHours price

Holiday or weekend price

Fee Structure

One Way

$ 50.00 + $5.00 *per mile

Round Trip

$ 100.00 + $5.00 *per mile

Wait Fee

$ 20.00 *per 15 min

Additional Charges and Policies:

Rides on Holidays and After Hours: Trips during holidays, after regular business hours, or for long-distance travel will incur additional surcharges. Hospital Discharges and Wait Times: Fees and rates are subject to change. The non-refundable credit card processing fee applies to charge and refund transactions. Fee Variability: Some fees may be applied on a case-by-case basis. Discounts are available for recurring trips. Unpaid Invoice Late Fee Policy:

If payment is not received within 30 days from the due date, a late fee of $250 will be charged. This fee applies to all outstanding invoices and will be added to the unpaid amount. Please make sure you pay in a timely manner to avoid any inconvenience or additional charges.