Ivacare Transport Services

Tel: +1 (614)-396-6906 Email: dispatch@ivacaretransport.com

Request A Ride

Please provide the following information to help us determine the best way possible to fulfill your request and show you that you are always our Top Priority.

Requestor’s information

Facility

First Name

Last name

Email address

Phone number

Patient’s information

Patient first Name

Patient last name

Patient birth date

Approximate weight (Ibs)

Pickup location

Pick Up date

Drop off Information

Drop off address

Doctor’s Name (For medical appointments only)

Any special info

Message

IvaCare, an Ebot Enow Enterprise Ltd. Company

Request A Ride

Requestor’s information

Patient’s information

Drop off Information

Any special info

Information

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