Request Your Medical Transportation

Name: Recovery Medical Transportation Inc.
Address: 61 Judith Lane, Chicago Heights, IL, 60411, US
Telephone: +1 (773) 297-1170

Provide the information below and our dispatch team will review your request. Your ride is not confirmed until you receive direct confirmation from Recovery Medical Transportation.

Takes about 5–7 minutes Secure form Prefer to call? +1 (773) 297-1170

For medical emergencies, call 911. This form is for non-emergency transportation only.

Contact Information

Who is this ride for? *

Myself Someone else

Passenger first name *

Passenger last name *

Contact person name (if different from passenger)

Only needed if you're booking on behalf of someone else.

Mobile phone *

Alternate phone

Email address *

Preferred contact method *

Phone call Text message Email

I agree to receive text messages about this ride

Organization or facility name (optional)

If you're booking for a facility, hospital, or agency.

Prefer not to use this form? Call dispatch at +1 (773) 297-1170.