Ride Request
Request a non-emergency medical ride
For patients, caregivers, discharge planners and facility coordinators.
What this form is for
Use it for scheduled appointments, hospital discharges, and facility transfers.
What to have ready
Pickup and drop-off details, appointment timing, and how the rider can travel safely.
What happens next
Dispatch reviews availability and confirms the pickup window before the ride is scheduled.
Where we operate
Southern California and the San Francisco Bay Area. Online booking verifies Southern California addresses; call Dispatch for Bay Area trips.
Step 1 of 520% complete
Start your request
Pickup and drop-off detailsChoose a suggested address so we can verify the service area.
Request review
This form starts a request. Dispatch confirms availability and the pickup window before the ride is scheduled.
Compare service levels or use the contact page for non-urgent questions.