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Email

Phone

Request Medical Rides

Appointment Date & Time
Month
Day
Year
Time
HoursMinutes
Estimated Waiting Time (Optional)
Estimated Total (Provided by Dispatcher)
$

We charge $3 per mile after the first 5 miles. Wait times beyond 15 minutes are billed at $40 per hour. The final amount will be provided by our dispatcher or in your confirmation message.

Custom price
$
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