Passenger Transportation

Ambulatory / Non-Emergency Medical Transportation.

Transportation is available for ambulatory passengers traveling to and from non-emergency medical appointments in our SUV. Submit your trip details for review of eligibility, availability, and pricing.

Passenger eligibility.

Our available vehicle is an SUV. Passengers must be able to safely enter and exit a standard SUV independently or with minimal assistance, and support their own body weight.

We accommodate ambulatory passengers only. We do not provide lifting, wheelchair transfers, wheelchair-accessible transportation, or stretcher transportation. Assistance needs are reviewed individually before any assignment is accepted.

ADA-Accessible Transportation: Coming Soon

We are working toward obtaining an ADA-accessible vehicle to expand into wheelchair-accessible transportation. This future service is not yet available.

Request review and pricing.

Individuals, medical facilities, insurance companies, and transportation brokers may submit transportation needs for review. Submitting a request does not guarantee availability or confirm a reservation. Pricing will be provided after reviewing mileage, waiting time, and assistance requirements. Any future contract or payment arrangement must be reviewed and agreed separately.

This is not an emergency service. For an emergency, call 911.

Ambulatory / NEMT Transportation Request

Ambulatory transportation is available in our SUV. Share your transportation needs so we can review passenger eligibility, availability, and pricing before accepting your trip.

Fields marked * are required. Date of birth and passenger email are optional. The email of the person arranging transportation is required, including when the passenger is arranging their own trip.

Privacy notice: provide only information needed to evaluate the trip and contact you about your request. Do not include diagnoses, medical records, Social Security numbers, insurance identification numbers, or payment details. Read our Privacy Policy.

Passenger Information

Full name *Date of birth (optional)Optional. Leave blank unless a specific transportation contract requires it.Contact phone number *Passenger email address (optional)Name and contact information of the person arranging transportation, if different from the passenger (optional)Email address of the person arranging transportation *If you are arranging your own transportation, enter your own email here. The separate passenger email field may be left blank.

Transportation Details

Date of transportation *Requested pickup time *Use the pickup location's local time for all times in this form.Pickup address, including apartment or unit number *Destination/drop-off address *Appointment time, if applicable (optional)One-way or round-trip transportation *Return pickup time, if known (optional)Will the driver need to wait during the appointment? *Estimated waiting time *Other estimated waiting time, if applicable (optional)Additional stops, if needed (optional)

Mobility and Assistance Requirements

Can the passenger walk independently? *Does the passenger use a cane, walker, or knee brace? *Can the passenger safely enter and exit an SUV? *Does the passenger require assistance entering or exiting the vehicle? *If assistance is needed, please describe the level of assistance required. *Enter None if no assistance is needed. Describe mobility assistance only, without diagnoses or medical history.Can the passenger support their own body weight? *Will a companion or caregiver accompany the passenger? *Any additional transportation accommodations or safety concerns? *Enter None if there are no additional needs. Include only transportation-related safety information.

Additional Information

Is the transportation being requested by an individual, medical facility, insurance company, or transportation broker? *Company or organization name, if applicable (optional)Number of passengers *Include the passenger and any companion or caregiver. Vehicle capacity will be reviewed before acceptance.Special instructions for the driver (optional)Preferred method of contact *

Ambulatory passengers only. Passengers must safely enter and exit a standard SUV independently or with minimal assistance and support their own body weight. We do not provide lifting, wheelchair transfers, wheelchair-accessible transportation, or stretcher transportation.

Submitting this request does not guarantee availability or confirm a reservation. Pricing will be provided after reviewing mileage, waiting time, and assistance requirements. All assignments require review and acceptance by Lowe Willzz.