Complaint Form MedRide’s first and top priority is that our clients are satisfied with the services we provide regarding NEMT. Please fill out this form for further investigation. Actions will be taken once our investigation is complete. Date *Person making Inquiry *FirstLastContact Phone *Contact Email *Clients Name (if other then person making inquiry) *FirstLastClients Phone NumberDate and approximate time of incident:DateTimeWas MedRide Contacted:YesNoDetails of Incident *Submit
