Schedule a Ride | First Aid Transportation LLC

1. Patient Information

First Name *

Last Name *

Date of Birth

Phone Number *

Email Address

2. Payment / Insurance

Payment Method *

Insurance / Member ID (if applicable)

3. Transport Type

♿Wheelchair 🛏️Gurney ⚖️Bariatric Gurney 🚶Ambulatory

4. Trip Details

Pickup Address *

Destination Address *

Appointment Date *

Appointment Time *

Type of Appointment

5. Special Needs

Stair Assistance?

Oxygen Tank Required?

Additional Notes

I agree to receive text messages from First Aid Transportation LLC about my transportation, including trip confirmations, reminders, and driver arrival updates. Message and data rates may apply. Message frequency varies. Reply STOP to opt out, HELP for help. Consent is not a condition of service. See our Privacy Policy and SMS Terms.

✅ Your ride request has been submitted! We'll contact you within a few hours to confirm. For urgent needs, call 510-479-7328.

📋 How It Works

Fill out the form with patient and trip details.
Submit at least 48 hours before the appointment.
We'll confirm your booking via phone or email.
Our certified driver arrives on time, door-to-door.

💊 Insurance We Accept

✓ Medi-Cal

✓ CCHP (Contra Costa Health Plan)

✓ HPSM (Health Plan of San Mateo)

✓ Private Pay

📞 Prefer to Call?

For urgent requests call us directly:

📞 Call 510-479-7328

🕐 Service Hours

Mon–Sat: 3:00 AM – 8:00 PM
After Hours, Sundays & Holidays: Available if scheduled in advance.

📍

Address1709 International Blvd., Ste. 107
Oakland, CA 94606

📠

Fax510-842-8357

✉️

Emailfirstaidtransportation@gmail.com