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Booking Request

Share the transport details and requested time, we’ll do our best to accommodate and confirm shortly.


PLEASE CALL FOR LAST MINUTE AND SAMEDAY BOOKINGS

Booking Details

Trip Details

Method of Transfer
Stretcher
Wheelchair
Does the patient require oxygen during transport?
No
Yes
Does the patient have an infectious or contagious disease?
No
Yes
Trip Type
One Way – Single trip to the destination
Two Way (Call for Return) – Return trip requested later; call us to schedule
Two Way (Prebooked Return Time) – Return trip scheduled at time of booking
Two Way (Wait) – Crew waits with you until the return; wait time is charged after 30 minutes

Date & Location Details

Requested Pickup Time
Time
HoursMinutes

Enter your preferred pickup date and time. Please note that requested dates and times are not guaranteed until you have received a confirmation call or email from our staff.

Arrival Time at Drop Off
Time
HoursMinutes

What time do we need to arrive at the drop off address? e.g. If you need to arrive 30 minutes before an appointment, please enter this time here.

Are the Pickup and Dropoff Locations Wheelchair accessible?
Yes
No, there are steps at the drop off or pickup
Other
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