North Star Medical Transport

Ride request

Request a ride

Tell us the ride you need. Dispatch reviews every request and answers you the way you choose — a confirmation, a price quote if you ask for one, or a change that makes it work if it can’t be done exactly as asked. Nothing is booked until dispatch confirms it. Urgent or same-day? Call 563-279-4277.

Not sure what to type? Ask Mark. Tap the Ask Mark button beside any question and Mark shows you an example of what goes there. He only shows examples — nothing is typed for you.

Are you booking, or do you need a quote? Booking — please confirm it A price quote first — I’ll approve it before it’s confirmed

Your organization or companyPassenger name

When

Date *

Pickup time *NOT the appointment time. The time you want to be picked up.

This repeats — a regular schedule

Pickup address *

Drop-off address *

Drop-off same as pickupEstimated time at the appointment (minutes)

Needs wheelchair Needs oxygen

Notes for dispatch and the driver

Contact information — who should we reach about this ride? (a phone or an email is required)

NamePhone

EmailBilling information

Optional: stretcher, more than one rider

MobilityRiders

How would you like our response? *

🔒 Sent securely to dispatch only. This page never displays what you enter — only your reference.