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Request Ambulance Transport

Request BLS, ALS or MICU ambulance transportation in Houston and surrounding areas. Dispatch will call you to confirm.

For a medical emergency, or if you are unsure, call 911.

Dispatch will call you to confirm. For same-day or urgent scheduling, call Dispatch at (713) 791-9000 — answered 24/7.

Requester Information

Transport Details

Not sure which level? Choose 'Not sure.' Dispatch will ask a few quick questions when they call and confirm the right level of care.

Privacy: Do not include diagnoses, medical records, Social Security numbers or insurance IDs in this form. Give insurance details to Billing by phone at (713) 222-0326; Dispatch will ask for anything else it needs when they call.

Or call (713) 791-9000
WhatsApp for international callers

For international callers and airport transport coordination.

+1 (713) 791-9000(opens in new tab)

Required fields. Sending this form does not guarantee transport availability or a specific pickup time.

Questions

Questions, answered.

What should I have ready when I call Dispatch?

The pickup location, destination and requested time. Dispatch will ask a few quick questions and confirm the right level of care. Don't put insurance numbers in the online form.

Who pays for the transport?

We bill Medicare, Medicaid and most private insurance plans. Coverage depends on your plan — call Billing at (713) 222-0326 to check.

How do I pay a bill?

Pay online through the Pay Bill page, or call Billing at (713) 222-0326.

How fast can you come?

Dispatch will call you to confirm. For same-day or urgent scheduling, call Dispatch at (713) 791-9000 — answered 24/7. We do not quote pickup times online.

Can a facility fax an order?

Yes. Fax (orders and billing): (713) 222-0504.

Questions about insurance or scheduling? Call Dispatch (713) 791-9000 — answered 24/7.