top of page

Easy Booking  and "Live" Dispatch!

Welcome to the new 360 Quality Care + Transport Services Dialysis 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.

Book a Dialysis Ride

Dialysis Days Needed
Monday, Wednesday , Friday
Tuesday, Thursday, Saturday
One Way Monday, Wednesday, Friday
One Way Tuesday, Thursday, Friday
Other
Chair Time
Time
HoursMinutes
Estimated Return Time
Time
HoursMinutes
Type of Payment
Private Pay
Medicaid

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