Registration of Healthcare Facilities
We understand the need for on-demand transportation for medical appointments, hospital discharges, emergency treatment, and operations. Thus, we provide secure and dependable wheelchair transportation services to healthcare facilities in the Dallas-Fort Worth area.
How do you get started?
Download and complete the Billing Authorization Form that gives us the facility’s primary contact name, your billing address and signatures from the staff members that are authorized to request private pay transportation.
Fax the form to MMT at (682) 410-0166 and it will be processed in 1 to 3 business days. You will receive an email confirmation stating that the form was received and accepted.
You can submit a trip request through the website by selecting Request A Quote or download and complete the Transportation Request Form and fax it to MMT at (682) 410-0166. You will receive the confirmation by fax or email.
A trip request forms (online or by fax) should be submitted 48 hours before the scheduled appointment or the schedules may already be full. All requests must be received no later than 3:00 pm the day before the scheduled appointment – but it is schedule to as soon as possible.
Same day requests (we will check availability) should be called in to Dispatch at (682) 410-0112. Please note – there may be an additional fee for same day trips.
Please fax in your billing authorization form and your facility will be registered in our system. You can begin scheduling trips when you receive your confirmation fax verifying that we have all your information. It is that easy!
Our drivers will provide door to door assistance and are trained in working with individuals that may require additional assistance.
Please call if you need assistance or have any questions at (682) 410-0112, and you can always visit our website for additional information
10% DISCOUNT OFF THE FIRST 3 TRIPS FOR THE FIRST 10 FACILITIES THAT SCHEDULE A TRIP!
We look forward to serving you!
Metroplex Medical Transportation Staff