Every NEMT request, scored before you dispatch a vehicle
Every NEMT enquiry captures the passenger's mobility level, trip purpose, and any onboard oxygen needs, along with authorization documentation, so your team knows exactly which vehicle to send before the pickup is confirmed.
The exact intake your non-emergency medical transportation leads complete
This is the real 7-question guided intake for Non-Emergency Medical Transportation — the same flow your customers finish before you ever pick up the phone.
What a qualified non-emergency medical transportation lead should tell you
Scheduled, non-ambulance transport for patients traveling to and from medical appointments, treatments, or facility transfers, qualified by the passenger's mobility level, any onboard equipment needs, and who is authorized to book the trip.
- Mobility Assistance Passenger During
- Purpose This Trip
- This Transportation Needed
- Someone Be Available Assist
- Passenger Any Onboard Medical
- Authorized Arrange And Confirm
- How Far Trip From
The questions your team needs answered
Every non-emergency medical transportation intake asks these — and why each one matters.
| Question | Why it matters |
|---|---|
| What type of mobility assistance does the passenger need during transport? | The mobility answer determines which vehicle class (ambulatory, wheelchair van, or stretcher unit) needs to be dispatched, and it carries the highest weights in the catalog. |
| What is the purpose of this trip? | Trip purpose distinguishes one-off appointments from recurring treatments like dialysis, which points to standing-account potential. |
| When is this transportation needed? | Timing shows whether the request needs same-day handling or can be scheduled on a routine or recurring basis. |
| Will someone be available to assist the passenger at pickup and drop-off? | Knowing whether someone will assist at pickup and drop-off tells your driver whether extra assistance is needed on top of the vehicle itself. |
| Does the passenger require any onboard medical equipment such as oxygen? | A yes on onboard oxygen or medical equipment is a weighted signal that the vehicle and driver must be equipped and trained accordingly. |
| Are you authorized to arrange and confirm this transportation on behalf of the passenger? | This question is weighted heavily because an unauthorized caller shouldn't result in a confirmed pickup being dispatched. |
| Approximately how far is the trip from pickup to destination? | Trip distance affects which vehicle and driver are assigned and helps estimate cost before the pickup is confirmed. |
How Cliont scores non-emergency medical transportation leads
Every answer is weighted automatically — no manual review required.
Value signals
- Walks without assistance
- Uses walker or cane
- Uses wheelchair, cannot transfer
- Uses wheelchair, can transfer
- Requires stretcher transport
- Passenger Any Onboard Medical: yes
See the lead your team receives
Wheelchair Transfer NEMT Pickup Lead
From first click to qualified lead
Follow owners and general contractors through one smooth, guided flow.
They land & meet you
Your video greeting plays instantly — a real face instead of a blank form.
They explain the project
Smart questions adapt to their project and capture the full scope.
They add photos & plans
Site photos and plans come attached, so you scope before you bid.
You get a ready lead
Scored and qualified — waiting for you to win it.
Built for non-emergency medical transportation workflows
| Cliont capability | Non-Emergency Medical Transportation application |
|---|---|
| Weighted scoring engine | Mobility level and onboard equipment answers carry the heaviest weights in this catalog, so stretcher and oxygen-dependent riders automatically surface as your highest-priority pickups. |
| Conditional branching | A no answer on booking authorization can route the lead into a verification step instead of a confirmed pickup, preventing dispatch on an unauthorized request. |
| CRM delivery with lead scoring | Recurring dialysis or therapy riders can be flagged separately from one-time appointments as they land in your CRM, helping you spot standing-account opportunities. |
| Structured intake fields | Trip distance and destination detail arrive already sorted into local, regional, or long-distance categories, so dispatch doesn't have to call back just to size the trip. |
Common non-emergency medical transportation lead scenarios
Wheelchair passenger, cannot transfer
The intake flags a non-transferable wheelchair passenger heading to a routine appointment, which requires a lift-equipped vehicle rather than a standard sedan.
Stretcher transfer on hospital discharge
A hospital discharge trip requiring stretcher transport carries the highest weight in the catalog, and the intake surfaces it as needing a specialized crew and vehicle before dispatch.
Recurring dialysis rider, oxygen dependent
A recurring dialysis patient who also needs onboard oxygen combines an ongoing-schedule answer with an equipment requirement, signaling a standing account worth prioritizing.
Caller not authorized to book
A family member calling on behalf of a patient answers no to booking authorization, so the intake can hold the request for verification instead of confirming a pickup that isn't authorized.
Ambulatory rider, one-time local trip
A passenger who walks without assistance and needs a single local ride to a routine appointment is still qualified, but doesn't require the same vehicle or staffing as a mobility-dependent rider.
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- Charged only for submitted leads
More passenger transportation intake templates
Non-Emergency Medical Transportation lead-intake FAQs
How does the intake tell us whether we need a wheelchair van or a stretcher vehicle?
The mobility assistance question captures whether the passenger walks unassisted, uses a walker or cane, uses a wheelchair with or without the ability to transfer, or requires stretcher transport, so you can match the right vehicle before accepting the trip.
Does the form ask about oxygen or other onboard medical equipment?
Yes, there's a direct yes/no question on onboard equipment such as oxygen, which is weighted so leads needing an equipped vehicle and trained driver stand out from standard rides.
Can the intake distinguish a one-time appointment from a recurring dialysis schedule?
Trip purpose and timing are asked separately, so a recurring dialysis or ongoing-treatment rider is captured differently from a single routine appointment or a future-dated trip.
What if the person filling out the form isn't the patient?
The intake asks whether the caller is authorized to arrange and confirm transportation on behalf of the passenger, which is weighted heavily so unauthorized bookings don't get confirmed as real pickups.
Does the intake account for whether someone will be there to help the passenger at pickup?
There's a yes/no question on whether someone will assist the passenger at pickup and drop-off, which lets your dispatcher know if the driver needs to provide extra assistance alone.
How does trip distance factor into qualifying the lead?
Passengers select whether the trip is local, regional, long distance, or unknown, which helps you assign the right vehicle and estimate cost before confirming the pickup.
Turn non-emergency medical transportation visitors into qualified projects
Give every non-emergency medical transportation visitor a guided intake instead of a dead contact form — and get a scored, qualified lead before you send an estimator.