Book A Ride

Personalized Medical Transport • Gentle Support • Trusted Family Care

🦽 Ambulatory & Wheelchair-accessible transportation — with the same comfort and attentive care you expect.

👉 How to Book

Choose the option that works best for you. We’ll review your request, confirm availability, and ensure all details are tailored to your needs.

📝 Option 1 — Online Booking (Recommended)

Use our secure booking form to tell us what you need. We’ll take care of the rest.

Trip Request Form

Client Information

Share a few details so we can tailor your experience from the very start.

Name

Primary Contact Name (if Different)

Phone Number

Patient Age

Trip Details

Help us understand where you’re headed and when — we’ll handle the logistics.

Service Type

Pickup Date & Time

Pickup Address

Address Line 1

City

State

Zip Code

Destination Address

Address Line 1

City

State

Zip Code

Mobility & Support Needs

Let us know how we can best support you during your ride — comfort and safety come first.

Mobility Needs (Select All That Apply)

Cane/Walker/Crutches

Wheelchair

Needs Door through Door Assistance

Needs help with Stairs/Balance/Carrying Items

Needs Help Getting into and out of Vehicle and/or help with Seatbelt

Additional Passengers (if any)

Car Seats (if any)

Trip Notes or Special Instructions

Required Agreements

A few final confirmations so we can process your request accurately and securely.

Agreements (Required)

I understand this is a private-pay service and Your Safety Net does not bill Medicaid, Medicare, or insurance.

I understand that a team member will review and confirm my request before it is officially scheduled.

I agree to the cancellation policy.

📞 Option 2 — Call or Text

Prefer speaking with someone directly? We’re happy to help.

📞 Call: (314) 660-2428
📱 Text: (314) 282-5638

📍 What You’ll Need

To ensure smooth scheduling, please have the following information ready:

Pickup address
Appointment location & time
Mobility needs (walker, cane, wheelchair, etc.)
Return trip details (if needed)
Contact phone number

💳 Payment

Payment is collected at the time of scheduling.
Accepted methods: Card, PayPal, Venmo

Book a Ride