Nationwide Non-Emergency Medical Transportation Coordination
Private Pay Only Secure Med Trans currently coordinates private-pay transportation and does not bill Medicare, Medicaid, or private health insurance.
Request Medical Transportation

Reserve Transportation Anywhere in the USA.

Submit your non-emergency medical transportation request to Secure Med Trans. Tell us where the passenger needs to go, when transportation is needed and what type of transportation is required.

Trip Request Reviewed before transportation is confirmed
Nationwide Requests Transportation coordination across the United States.
Multiple Transport Types Ambulatory, wheelchair and other NEMT needs.
One-Way or Round Trip Submit the transportation schedule that you need.
Confirmation Required Submission alone does not guarantee transportation.
Reservation Request

Tell Us About the Trip

Complete the form with the transportation details available to you. Secure Med Trans will review the trip requirements and transportation availability before confirming arrangements.

01
Know Your Pickup

Provide the passenger's pickup city, address or facility.

02
Know the Destination

Provide the healthcare destination or requested drop-off.

03
Choose Transportation Type

Select the service that best matches the transportation need.

04
Provide the Schedule

Include the requested date and pickup time when known.

Need Help With the Form?

Call Secure Med Trans

If you are unsure which transportation type to select, contact our team to discuss the transportation request.

202-945-9905
01

Your Information

02

Passenger Information

03

Transportation Details

04

Transportation Requirements

Important: Submitting this form does not create a confirmed reservation. Secure Med Trans must review transportation requirements and availability before confirming the trip.

Please do not enter medical records, diagnoses, Social Security numbers, insurance identification numbers or other unnecessary sensitive health information in this form.
What Happens Next?

From Transportation Request to Trip Confirmation

Submitting the reservation form starts the coordination process. The transportation request must be reviewed before arrangements are considered confirmed.

01

Submit Your Request

Tell us when and where transportation is needed and which transportation type is requested.

02

Trip Review

Our team reviews the route, passenger requirements, requested schedule and transportation type.

03

Availability Review

Available transportation resources are evaluated for the requested geographic area and trip.

04

Trip Confirmation

Transportation is considered confirmed only after arrangements have been reviewed and communicated.

Nationwide Transportation

Submit Medical Transportation Requests Across the USA

Secure Med Trans accepts non-emergency medical transportation requests throughout the United States. Transportation availability is reviewed according to the requested location, route, schedule and passenger transportation requirements.

Local Trips

Transportation within cities and local communities.

Regional Trips

Medical transportation between cities and counties.

Long-Distance Requests

Longer routes, including interstate requests, may be reviewed.

Recurring Transportation

Repeated treatment and appointment schedules can be submitted.

Reservation FAQs

Before You Submit a Transportation Request

Review common questions about reservations, transportation availability and how Secure Med Trans handles transportation requests.

Does submitting this reservation form confirm my trip?

No. Submitting this form creates a transportation request. Secure Med Trans must review the requested transportation type, schedule, route and provider availability before transportation can be confirmed.

How far in advance should I request medical transportation?

Submitting transportation requests as early as possible gives more time to review the trip and transportation availability. Short-notice requests may also be submitted, but availability cannot be guaranteed.

Can I request transportation anywhere in the United States?

Secure Med Trans accepts transportation coordination requests across the United States. Availability varies according to geography, trip requirements, scheduling and available transportation providers.

Can I request recurring medical transportation?

Yes. Recurring transportation requests can be submitted for dialysis, therapy, rehabilitation, treatment programs and other repeated healthcare appointments.

Can healthcare facilities submit transportation requests?

Yes. Hospitals, nursing facilities, rehabilitation centers, case managers, discharge planners and other healthcare organizations may submit transportation requests through Secure Med Trans.

What transportation types can I request?

Requests may include ambulatory transportation, wheelchair transportation, door-to-door medical transportation, dialysis transportation, hospital discharge transportation, senior transportation and other appropriate non-emergency medical transportation services.

Should I include medical records or diagnosis information?

No. Please do not include medical records, diagnoses, Social Security numbers, insurance identification numbers or other unnecessary sensitive medical information in the general reservation form.

Need Assistance?

Have a Question Before Requesting Transportation?

Contact Secure Med Trans if you need help selecting a transportation service or discussing an upcoming non-emergency medical transportation request.

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