Request Transportation

Reliable non-emergency medical transportation throughout Hampton Roads.

Choose your transportation service below and submit your trip information. A Coastal Care Transport representative will contact you to confirm availability.

📞 Questions? Call (757) 942-5254

What Happens Next?

1️⃣ Select a Transportation Service

2️⃣ Complete and submit the transportation request form

3️⃣ We review your trip details

2️⃣ Complete and submit the transportation request form

4️⃣ We confirm your reservation by phone or email

2️⃣ Complete and submit the transportation request form

4️⃣ We confirm your reservation by phone or email

"Compassion in every mile"

Client information

Name*

Email*

📞 Phone*

🚶 Ambulatory or ♿ Wheelchair*

Pick Up location "Address"*

🗓️ Pick-up Date "00/00/2026"*

⏰ Pickup time "0:00am"*

Drop-Off Location*

Escort/Family traveling with patient "Yes or No"*

Door-to-door driver assistance needed*

Return trip? "Yes or No"*

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Submit your request → We confirm availability → Pay below to secure your ride

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Non-Emergency Medical Transportation Services are available throughout Hampton Roads, providing essential Medical Transport Services for those in need.

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