Start Your Reservation

Online Transportation Reservation Form

Due to the overwhelming need for medical transportation, we are reviewing each request to determine our availability.

Please do not pay for a ride until you have been contacted and confirmed by an IMPAQ associate.

We apologize for any inconvenience this may cause.

Impaq Transportation Online Reservations

The best way to make a personal transportation reservation with Impaq Transportation and Community Services, LLC is to complete and submit the online transportation reservation form below. If you prefer, you may call us and we will schedule your transportation over the phone. Be sure to let us know if you have any questions.

Intercounty Transport

We can pick you up within Harris, Liberty, Montgomery, Fort Bend, Brazoria, or Galveston Counties of Texas and transport you to the destination of your choice. We provide both in-county and out-of-county transportation services. No transferring from one county vehicle to another county vehicle to get to one destination.

IMPORTANT – We prefer at least 24-48 hours advance notice for transportation services; however please contact us for same day services which will incur additional charges.

Please note that we do not have wheelchair van services at this time.

Due to the overwhelming need for medical transportation, we are reviewing each request to determine our availability . Please do not pay for a ride until you have been contacted and confirmed by an IMPAQ associate. We apologize for any inconvenience this may cause.

How It Works

 

We Pick You Up Anywhere

We can pick you up anywhere within Harris, Liberty, Montgomery, Fort Bend, Brazoria, or Galveston Counties of Texas. Your destination can be outside of these counties.

Choose Your Driver

If you have a preferred driver, just let us know and we can arrange for that driver to pick you up.
 

Flat Rate Fee

Current transportation fee is $2.25 per mile plus a $10 booking fee.

Dialysis transportation is available at $150 per week for trips 10 miles or less. Clients who pick up address is between 10-20 miles of the dialysis center is $200 per week.

If a center is 20 miles or more from your residence, please contact us for pricing.

We prefer at least 24-48 hours advance notice for transportation services; however please contact us for same day services which will incur additional charges.

Flexible Cancellation

If you need to cancel your scheduled transportation, just let us know within 24 hours and there will be no cancellation fee.

Online Payments

Our online payment form is provided below. Payments are made using PayPal. However, a PayPal account is not required if you wish to pay by credit card.

Payment Form

Enter the payment details and submit

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Online Transportation Reservation Form

"*" indicates required fields

Patient Name*
Contact Person Name*
Patient Address*
Type of Appointment

What type of medical equipment do you use?
Personal Transport Assistant Needed*
How many persons to be transported?*
Vehicle preference*
Please note we do not have wheelchair van services at this time.
Destination Address/Location
MM slash DD slash YYYY
Time of Scheduled Appointment*
:
Requested Pick Up Time
:
Emergency Contact Name*
This field is for validation purposes and should be left unchanged.