Book an Appointment.

Call (719) 355-6500 or fill out the form below.

To book a ride, please provide:

  1. Your Medicaid ID number

  2. Your name and phone number

  3. Date of Birth

  4. The date and time you need a ride

  5. The address of your pick-up location

  6. The name, address, and phone number of the health care provider you will see

  7. Return time