top of page

Easy Booking  and "Live" Dispatch!

Welcome to the new 360 Quality Care + Transport Services Booking Request Form

This form allows you to request Non-Emergency Medical Transportation (NEMT) through our 360 Flagship Transportation Services. Complete the form to request safe, reliable transportation designed to support access to care.

Service required
One way
Round trip
Type of transport
Wheelchair
Ambulatory
Stretcher
Pick up date
Month
Day
Year
Pick up time
Time
HoursMinutes
Appointment time
Time
HoursMinutes
Location(s) 2 steps of less?
Yes
No
N/A
Does passenger have wheelchair
Yes
No
N/A
Other
Does passenger have footrests
Yes
No
N/A
Can passenger be left alone (Dementia/fall risk/lift assist)?
Yes
No
Invoice
Yes
No
Private (patient/family) pay
Yes
No
Private pay method of payment
Credit card
Check
Cash
Time
Time
HoursMinutes

Patient/family payment options 

Credit Card: 360’s preferred form of payment for family paid transports is Credit Card.  Please call 636-735-3860 to make a payment by credit card.

Check: Please make checks out to 360 Care & Transport

Cash: Our drivers do not carry change.  Please pay cash in an exact amount. 

Please NOTE that all St. Louis area transportation requests that are cancelled on the same day as the scheduled transport will incur a $60 cancellation fee. Transportation requests of more than 25 miles that are cancelled on the same day will incur additional fees. Please contact bookings@360careandtransport.com or call 636-735-3860 #2 for specific long distance cancellation fees.

360 Logo

636-735-3860

NEMTAC ACCREDITED

360 Quality Care + Transport Services is committed to digital accessibility and strives to conform to the Web Content Accessibility Guidelines (WCAG) 2.1, Level AA. If you experience any difficulty accessing our website or need assistance, please contact us and we will gladly help.

Accessibility Statement | Privacy Policy

360 Quality Care + Transport Services
© 2026 All Rights Reserved

bottom of page