Request a Ride

Tell us about your trip.

This form is for prearranged, non-emergency transportation requests only. Your ride is not scheduled until HopePath confirms availability and trip details. Please request rides at least 24 hours ahead (48 hours for wheelchair access). Requests sent outside Monday–Friday, 8:00 AM – 6:00 PM are reviewed the next business day. For medical emergencies, call 911.

Passenger

Passenger type *

AmbulatoryWalks independently or with a cane or walkerWheelchair access requestedNeeds a ramp-equipped vehicle

Passenger name *

Requestor name (if different)

US phone number *

Email (optional)

Trip

Pickup address

Street address *

City *

State *

ZIP code *

Destination address

Street address *

City *

State *

ZIP code *

Appointment date/time *

Requested pickup time *

Round trip

Assistance & preferences

Ambulatory / mobility assistance information

This is a recurring trip

Number of companions

Special transportation instructions

Preferred time to call you back

Preferred contact method

Submitting a request does not confirm a ride. Wheelchair access requests are inquiries only; HopePath will contact you to discuss availability.