Reserve Your Medical Transportation in Maryland
Use the form to request wheelchair transportation, stretcher transportation, dialysis transportation, hospital discharge rides, senior transportation, doctor appointment rides, ambulatory transportation, or long distance medical rides.
Reservation Request Form
Complete the form below. Required fields are marked with an asterisk. Our team will contact you to confirm availability and ride details.
Simple Ride Request Process
We keep the reservation process clear and easy for patients, caregivers, families, hospitals, and facilities.
Submit Your Request
Complete the reservation form with your pickup address, destination, date, time, and transportation type.
We Review Details
Our team reviews the ride information and checks availability based on location, timing, and patient needs.
Ride Confirmation
We contact you to confirm the ride details, pricing, timing, and any special assistance needed.
Transportation Services You Can Request
Choose the service that best fits the patient’s mobility and medical transportation needs.
Wheelchair Transportation
For wheelchair users who need safe accessible transportation to appointments, hospitals, therapy, and home.
Stretcher Transportation
For non-emergency patients who need to travel lying down or cannot safely sit upright during transport.
Dialysis Transportation
For recurring dialysis appointments where dependable pickup and return transportation is important.
Hospital Discharge Rides
For patients leaving the hospital and traveling home, to rehab, nursing facilities, or assisted living.
Non-Emergency Transportation Only
Palmer Medical Transport does not provide emergency ambulance service. If the patient is experiencing a medical emergency, chest pain, severe breathing difficulty, stroke symptoms, uncontrolled bleeding, or any life-threatening condition, please call 911 immediately.
Reservation Questions
Here are common questions about booking a ride with Palmer Medical Transport.
Does submitting the form confirm my ride?
No. Submitting the form sends a reservation request. Our team will contact you to confirm availability, ride details, pricing, and scheduling.
What information should I include in the reservation form?
Please include pickup address, drop-off address, ride date, time, service type, patient mobility status, facility details, and any special assistance needed.
Can I request wheelchair or stretcher transportation?
Yes. You can request wheelchair transportation, stretcher transportation, ambulatory transportation, or other non-emergency medical transportation services through the form.
Can I book recurring dialysis transportation?
Yes. Use the notes field to mention the recurring schedule, treatment days, pickup time, dialysis center, and return ride details.
Do you provide emergency transportation?
No. Palmer Medical Transport provides non-emergency medical transportation only. For emergencies, call 911 immediately.