Book a Ride | CareRide Medical Transport

Ride Request

Request Transportation

Complete the form below. Fields marked with * are required.

Passenger

Trip

Review

1. Passenger Information

First Name *

Last Name *

Phone Number *

Email Address

Passenger Type *

2. Transportation Type

🚶 Ambulatory
Passenger can walk independently.

♿ Wheelchair
Wheelchair transportation.

🦯 Mobility Aid
Walker, cane or similar aid.

🛏️ Stretcher
Only if offered in your service area.

3. Trip Details

Trip Type *

Pickup Date *

Pickup Time *

Pickup Address *

Destination *

Estimated Return Time

4. Additional Information

Assistance Needed

Additional Information

I confirm that the information provided is accurate and understand that submitting this request does not guarantee transportation until CareRide confirms the trip.

I understand that CareRide provides non-emergency transportation and this service should not be used for medical emergencies.

Request Submitted!
Thank you. Your transportation request has been received. A CareRide representative will contact you to confirm availability and trip details.

What Happens Next?

✓
Request Received
We review your transportation request.
✓
Availability Checked
We confirm vehicle and scheduling availability.
✓
Trip Confirmed
Our team contacts you with confirmation details.
✓
Ride Completed
Your driver provides transportation to your destination.

Before You Book

•
Schedule as early as possible.
•
Provide accurate pickup information.
•
Let us know about mobility requirements.
•
Keep your phone available for confirmation.

Prefer to Call?

Speak with our transportation team.

(800) 555-0199