Request Ambulance Transport

Preferred EMS dispatch is available 24/7 to help coordinate BLS, ALS and MICU ambulance transportation throughout Greater Houston. Complete the form below and our dispatch team will follow up to coordinate your request.

For immediate assistance, call (713) 791-9000

Requester Information

Requester Name

Healthcare Facility / Organization(optional)

Callback Phone

Email(optional)

Transport Details

Pickup Location / Facility

Destination Location / Facility

Requested Transport Date(optional)

Requested Transport Time(optional)

Level of Care

Additional Coordination Notes(optional)

Privacy notice: For patient privacy, do not enter diagnoses, medical records, Social Security numbers, insurance IDs, or other sensitive medical information in this website form. Our dispatch team will obtain any necessary patient information through the appropriate secure process.

Or call (713) 791-9000

WhatsAppInternational Assistance

For international callers and airport transport coordination.

+1 (713) 791-9000

Required fields. Submitting this form does not guarantee transport availability or a specific response time. Our dispatch team will contact you to confirm scheduling.