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Easy Booking  and "Live" Dispatch!

Booking Request Form
This is a request form only. It is not a confirmation of Transition to Home services or Show Me Medical Transport.  A booking team member will contact you during regular business hours to get additional information and set a course that works for you when you or your loved one needs it the most.

Type of Transport
Type of Transport
One Way
Round Trip
Pick Up Time
Time
HoursMinutes
Appointment Time
Time
HoursMinutes
Does the Pick Up location Have More Than Two Steps or Less?
Yes
No
Does Passenger Have Wheelchair
Yes
No
Does Wheelchair Have Footrests
Yes
No
Can Passenger Be Left Alone?
Yes
No
Invoice
Yes
No
Private (Patient Family Pay)
Yes
No
Private Pay Form of Payment
Credit Card
Check
Cash

Patient/family Payment Options 

Credit Card: Show Me Medical Transport preferred form of payment for family paid transports is Credit Card. 

Please call 636-735-3860 to make a payment by credit card.

Check: Please make checks out to Show Me Medical Transport

Cash: Our drivers do not carry change.  Please pay cash in an exact amount. 

Please NOTE that all Columbia/Mid Missouri requests that are cancelled on the same day as the scheduled transport will incur a $60 cancellation fee. Transportation requests of more than 25 miles that are cancelled on the same day will incur additional fees. Please contact bookings@showmemedtrans.com or call 636-735-3860 #2 for specific long distance cancellation fees.

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