Please Note
Submitting this form does not guarantee a scheduled ride. Your trip is not confirmed until 180 Health Transit contacts you and confirms availability.
This service is not for emergencies. If you have a medical emergency, call 911.
1. Passenger Information
2. Trip Information
3. Additional Details
RIDE REQUEST FORM
Tell Us About Your Trip
Tell us about your trip and we will review your request. Please share as much detail as possible so our team can follow up with you about scheduling.
PLEASE NOTE
Before You Submit Your Request
A few quick reminders help our team review your trip details quickly and accurately. Submitting a ride request does not confirm a booking. Your trip is not confirmed until 180 Health Transit contacts you and confirms availability.
- Double-check addresses: confirm the pickup and drop-off addresses are complete and correct.
- Provide accurate times: include your appointment time and preferred pickup time.
- Include return details: let us know if you need a return trip and when.
- Submit early: send your request as far in advance of your appointment as possible.
- Wait for confirmation: your ride is only scheduled once our team contacts you and confirms availability.
Need help with your request?
Questions About Your Ride Request?
Our team is happy to help with questions about scheduling or a request you have already submitted. Reach out using the options below. Submitting a request does not confirm a ride; we will contact you about availability.
Medical emergency? 180 Health Transit provides non-emergency transportation only. If you are experiencing a medical emergency, call 911 immediately.
Phone
[Phone number to be added]
Call with questions about scheduling or a submitted request.
[Email address to be added]
Email us with general questions about your trip details.
Hours & Location
Based in Bastrop, Louisiana, serving surrounding areas.
[Business hours to be added]