Schedule Your Transportation Appointment

Use the form below to request transportation for upcoming medical appointments. Once your request is submitted, our dispatch team will contact you to confirm scheduling details.

Person writing in a planner with a pen, holding a smartphone, on a wooden table next to a cup of tea or coffee and a pair of glasses.

Transportation Request Form

To help us coordinate your transportation efficiently, please provide the following information accurately.

Important Insurance Notice

Hozho Medtrans LLC currently services New Mexico Medicaid members only.

At this time, we are not accepting:

  • Blue Cross Blue Shield

  • Presbyterian

  • United Healthcare