Book Your Ride

Schedule reliable medical transportation with MoveraCare Mobility

Transportation Request Form

Please provide detailed information for your transportation needs. All fields marked with * are required.

Submitting a request does not confirm transportation.

MoveraCare dispatch will review availability and contact you at the phone number you provide. For medical emergencies, call 911. For same-day help, call 832-925-2128.

Patient Information

Patient Name *

Facility Name (if applicable)

Pickup & Destination

Pickup Address *

Type at least 3 characters. Use ↑/↓ then Enter to select.

Unit / Suite / Entrance (optional)

Destination Address *

Type at least 3 characters. Use ↑/↓ then Enter to select.

Unit / Suite / Entrance (optional)

Schedule

Transportation Date *

Houston (Central) time. Yesterday and earlier dates are not accepted.

Pickup Time *

24-hour input; AM/PM shown at review.

Trip Type

One WaySingle pickup and drop-off.Round TripSame driver returns you at a set time.Wait & ReturnDriver waits at destination and returns. Approval + wait charges may apply.

Mobility & Instructions

Mobility Type *

Special Instructions

Contact

Contact Phone *

Contact Email

Optional — text message updates. I agree to receive operational text messages from MoveraCare Mobility about this transportation request (confirmation and reminders) at the phone number I provided. Message and data rates may apply. Reply STOP to opt out at any time. These messages are operational only and will not include diagnosis, treatment, or medical-condition information.

Need Immediate Help?

Call our dispatch team:

(832) 925-2128

Email us:

dispatch@moveracaremobility.com

Booking Information

24-hour advance notice recommended for wheelchair transport.

Same-day service subject to dispatch availability.

Confirmation provided by phone once dispatch reviews your request.

We serve Houston and surrounding areas.

Service Hours (Houston)

Mon–Sat 6:00 AM – 7:00 PM

Sunday 12:00 PM – 5:00 PM.

Payment Options

Payment arrangements and any required authorization are confirmed before the trip. Private-pay and authorized partner trips may be available. Contact dispatch at (832) 925-2128 to confirm the payment method for your ride. The applicable amount and due date will be confirmed for your trip or shown on your invoice.

Zelle

Use moveracareservices@gmail.com — but confirm the recipient name with MoveraCare dispatch before sending. This site does not initiate or verify Zelle transfers.

Check

Make checks payable to MoveraCare Services. Delivery instructions are provided by your invoice or the dispatch team.

ACH bank transfer

Ask dispatch about ACH availability. ACH instructions will be shared once setup is complete — we do not publish routing or account numbers on this site.

Submitting a ride request or completing this booking form does not confirm transportation or process a payment. Dispatch will confirm the trip, payment method, and any authorization before the ride.