Book a Trip - iCareDallas DFW Wheelchair and Medical Transportation

Please use this form to request transportation.

We will call you back to confirm your request as soon as possible.

Your phone and name are the only requirements on this form.
All else is optional, but may be helpful for us to process your request.

Trip type

One-Way

Round Trip

Multiple stops / appointments

Vehicle Preference

Van Option 1

Van Option 2

You can request one our specific vehicles if you like.

Pickup location

Drop off location

You can leave these blank or type a zip code, city or use text to speech to describe these locations. We will call you to confirm exact locations for pick-up and your itenerary.

Pickup Date / Time

You can leave these blank too. We will call you to confirm exact times and dates for pick-up and your itenerary.

Adults

Children

Name *

Phone *

Email

If you prefer email communication, please let us know you address