Reserve a Ride

At FRONT LINE TRANSPORT EMERALD COAST, you can now schedule a trip with us in advance! If you have routine appointments we can get you there every time! Kindly complete the reservation form provided to get started.

Please note that we serve clients throughout the Emerald Coast of Florida.

Client / Rider Name*

Point of Contact Phone Number*

Please list the best number to reach either the rider or point of contact for confirmation and transport.

Appointment Day and Time*

Pickup time and Location*

Drop Off Time and Location*

Please list the time the client / rider needs to be at the drop off location along with the address.

Does this person require a return trip?

If the client / rider requires a ride home please let us know when booking.

YESNO

Does the rider require a mobilty device for transport?*

If using personal manual wheelchair, please make sure that the chair is in proper working condition. **If wheelchair brakes do not work at pick up, you will be asked to use FLTEC provided wheelchair for safety.

Rider needs to use FLTEC wheelchairRider using personal manual wheelchairRider using personal motorized wheelchairRider needs stretcher transportNone of the above

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*Insured clients must be discharging from a hospital or traveling to/from a medically qualified appointment.

**Private Pay trips do not have the same restrictions. Please call for more details.

WE ACCEPT CREDIT CARD PAYMENTS PRIOR TO TRANSPORTATION OR IN THE VEHICLE AT TIME OF PICK UP.

ASSISTED LIVING FACILITIES, SKILLED NURSING FACILITIES, PRIVATE CARE HOMES AND ADULT DAY CENTERS CAN REQUEST MONTHLY BILLING WITH A SIGNED SERVICE AGREEMENT.

Ask about our Veteran and First Responder Discounts!

Request a Free Quote or Estimate

To get an idea of how much our services cost, kindly fill out the form so we can provide you with a free quote or estimate.

DID YOU KNOW YOUR INSURANCE MAY COVER THE COST OF TRANSPORTATION?

We are thrilled to partner with MTM and LOGISTICARE to bring transportation to our clients by utilizing their health insurance policy. If you have an insurance policy that currently uses MTM or LOGISTICARE to schedule your Doctor and Dental appointments, request us today!

*FOR CLIENTS USING INSURANCE POLICIES WORKING WITH MTM OR LOGISTICARE TO COVER THE TRANSPORTATION COST, YOU MUST BOOK YOUR TRANSPORTATION AND ANY CHANGES THROUGH MTM OR LOGISTICARE.

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