Transportation Request

SourcePoint is pleased to coordinate transportation for qualifying clients to and from appropriate medical and social service appointments such as:

Doctor, dentist, lab work, prescribed therapies, dialysis

Counseling/support groups

▶ Adult daycare

Tax or footcare appointments at SourcePoint

Social service appointments related to housing, food insecurity, employment, and utilities

● Requests for rides must be submitted 10 days prior to the requested date.

All volunteer-based transportation is subject to volunteer availability.

● If no volunteer is available, the mobility schedulers will work with SourcePoint clients to find alternate options utilizing public transportation.

Please complete and submit the form below and a mobility scheduler will contact you regarding your transport options. If you require transportation to reoccurring appointments (such as dialysis or adult day care), please call the mobility scheduler directly at 740-913-1888 or your care consultant. Questions may also be directed to

Qualifying SourcePoint Client Transport Request Form

  • Client Information

  • *for those who wish to receive an email confirmation
  • Appointment Information

  • Date Format: MM slash DD slash YYYY
  • :
  • :
  • :
  • Special Assistance Needs

  • This field is for validation purposes and should be left unchanged.
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