Thanks for choosing A-TEAM! 

Request a Ride – Trip Requests Only

This form is used to submit actual non-emergency transportation trip requests for schedled appointments or facility discharges. 

This form is not intended for general questions, service inquires, or quote-only requests. All trip requests are reviewed by our dispatch team for availability, and a response will be sent to the trip confirmation email provided once scheduling has been reviewed–either confirming the trip or advising if we are unable to accomodate the request. 

For general questions or transportation quotes, please visit our Services & General Inquiry page:  

For Medical emergencies, please call 911

Requester Name
Patient Name
LBS
Mobility Type
IMPORTANT: Rollators (including seated rollators ) are not permitted for transport. Passengers must be able to safely sit in a wheelcahir or require stretcher transport.
Do not enter a pickup time if an appointment time is provided. Approx. pickup time will be scheduled by dispatch based on the appointment time.
Are there any stairs at the pickup location?
Are there any stairs at the drop-off location?
Trip Type
Roundtrip: If a return pickup time is not provided, the return trip is typically be scheduled for one hour after the appointment time.
Type of Transport (Non-Emergency Only)
Patients must provide their own wheelchair for all wheelchair transports. Stretchers are provided by A-Team Transport. Stretcher transport is required for patients unable to sit upright in a wheelchair, unable to bend their legs, or who exceed the wheelchair weight limits.
Please provide an email address where trip confirmation and communication can be sent. This may also be a facility, department, or scheduling email.