Ride Request Form

To request a ride, please complete the information below and click submit.  After completing the form, our reservation agent will contact you to confirm your trip request.  Thanks!
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  • Non-Emergency Medical Transport NEMT
  • Licensed Ohio Ambulette Service (License No: 521025)
  • Ambulette Fleet of Late Model Rear Ramp Dodge Grand Caravans
  • Drivers are CPR, First Aid, Defensive Driving Certified
  • Staff Trained for Patient Safe Handling, Special Needs, Memory Care and Pediatric Transport

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Columbus, Ohio

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