Insurance Paymet | Helping Hands Medical Rides

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Please take a moment to fill out the form. Be advised to submit your form at least 36 hours before your ride.

Regular Rides

Doctor's Appointment

Hospital Discharge

Outpatient Procedures

Therapy Visits

Quick Rides

Medication Pickup

Short Errands

Long Rides

Medication Pickup

Short Errands

I need wheelchair

Pick up Location

Drop Off Location

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Time

14:30

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