Book A Ride - ZMT Care LLC

Book Your Trip Today

Ready to Schedule Your Ride?

Contact us today to book your transportation or get answers to any questions. We're here to help make your healthcare journey as smooth as possible.

Patient Information

Frist Name

Last Name

Email Address

Phone Number

Trip Details

Pickup Date*

Pickup Time*

Pickup Address*

Destination Address*

This is a round trip (return transportation needed)

Appointment Information

Appointment Type

Select appointment type

Doctor's Appointments
Hospital Transfers
Dialysis Transport
Wheelchair Accessible
Pharmacy Runs
Physical Therapy
Other

Medical Facility Name

Pickup Address*

Destination Address*

This is a round trip (return transportation needed)

Transportation Needs

Patient Mobility

Select mobility type

Ambultory (Can Walk)
Wheelchair
Stretcher/Gurney
Needs assistance walking

Companion/Family member accompanying

Requires oxygen

Insurance Information (Optional)

Insurance Provider

Policy Number

Special Instructions

Additional Notes

After submitting this form, we'll contact you within 30 minutes to confirm your booking details and provide final confirmation.

Schedule Your Medical Transportation

Ready to Schedule Your Ride?

Need Immediate Help?

818-230-2962

Booking Tips

zmtmedical@yahoo.com

Service Areas