Plan your ride

Request a personalized quote.

Share the trip details below and send them directly to our team. We will review the request and contact you to coordinate next steps.

Transport optionsWheelchair · Stretcher · Ambulatory

Patient details

Tell us who we will be coordinating the ride for.

Patient's Name

Phone Number Use the best number for the person arranging the ride.

Email Address

Transportation needs

Choose the option that best reflects the patient’s mobility.

Transport Mode

WheelchairTravelling in a wheelchairStretcherNon-emergency stretcher transportAmbulatoryWalking independently or with an aid

Pickup Date and Time Select the requested pickup time in Eastern Time. Availability will be confirmed with you.

Trip details

Share the route and whether a return journey is needed.

Pickup Location

Start typing and choose a recommended address, or continue entering it manually.

Drop-off Location

Start typing and choose a recommended address, or continue entering it manually.

Trip Type

One-wayTravel from pickup to destinationRound tripInclude a return journey

Additional Details 0/800

Please avoid including sensitive medical records or health card numbers.

Submitting securely sends these details to HealRide by email for review and follow-up. Please do not include medical records or health card numbers.