Forsyth County Transportation Services June 2010

Provider Criteria Services Cost Waiting List Comments American Cancer Society 1-800-227-2345 Triad Area 866-277-4508 or (336)834-0844

Only transport for radiation treatment.

Medication & limited emergency assistance if 200% of the poverty level and below. Breast cancer supplies, peer support, education programs, re-source library, pink broom-stick program and healing hands.

Free Service None This program is mostly volunteers. Volunteers are from this area. More services are listed on their website: www.cancer.org

Ardmore Transpor-tation Ministry (336)722-5686 Answers phone from 10:00 to Noon

Ardmore Area Only. Serves seniors & adults w/disabilities (no children) Must not be able to use pub-lic transportation. Need minimum of 1 day advance notice. If possible need 3 days for medical appoint-ments & if in a wheelchair.

Provides medical transpor-tation, grocery shopping and hair appointments.

Free Service May make contribution to program.

None Program staffed by vol-unteers. They try to as-sist as many people as possible but do not go out of the Ardmore Area. They are gov-erned by a board made up of churches in the Ardmore Area.

Clemmons First Baptist Church (336)766-6486

No specific criteria other than live in Clemmons. Call for transportation 2 weeks in advance. Since some volun-teers are older adults, caller needs to inform them of wheelchair use. Volunteers cannot lift wheelchairs.

Transport to medical ap-pointments, pick up medi-cations, grocery shopping, and hair appointments.

Free Service None

Program is staffed by volunteers. They have served younger persons in need of transportation to medical appointments for themselves or their children. The volunteer may go above and be-yond transportation if they feel they need to.

Page 1 of 6

Forsyth County Transportation Services June 2010

Provider Criteria Services Cost Waiting List Comments Forsyth Medical Center - Whitaker Rehabilitation Cen-ter Adaptive Driving Program To make referrals: (336)718-5780 Fax (336)718-9272

Serves people with: Stroke, amputations, spinal cord in-juries, diabetes, visual, neu-rological, or cognitive im-pairments, orthopedic condi-tions, cardiac conditions, arthritic changes in upper and lower extremities, and loss of function due to aging. Must be at least 16 yrs old & have previous driving ex-perience. Must have a valid driver’s license (if license has been revoked, a provisional li-cense can be obtained…) A written referral from a physician is required.

An occupational therapist specially trained in the evaluation and training of driving skills will assist patients to return to inde-pendence with driving and community mobility. Evaluation includes: driv-ing history, physical as-sessment, visual/ percep-tual assessment, cognitive assessment and on-road assessment. Therapist will determine whether training sessions are needed to im-prove specific skills and whether adaptive equip-ment is needed to improve safety.

Evaluation: $200; In-Car Instruction: $100 (per session) Funding sources in-clude: private pay, worker’s comp., voca-tional rehab. Payment ar-rangements will be made prior to ser-vices

N/A If the patient has any of the following condi-tions, referral to the driving rehab program may not be appropriate: Seizure activity

within the last year Late-stage Alz-

heimer’s Dementia Constant positional

vertigo Visual acuity defi-

cits worse than 20/100.

GroMeds to Go gromedstogo55@ yahoo.com (336)926-1643

Designed for seniors and adults with disabilities.

Recreation, shopping, em-ployment, educational, so-cial events. Will also pick up & deliver groceries, laundry & prescriptions. Medical appt. assistance.

CAP MR/DD Medicaid provider

Page 2 of 6

Forsyth County Transportation Services June 2010

Provider Criteria Services Cost Waiting List Comments Here To There Van Service (336)923-5561 (office) (336)986-0151 (336)986-0127

Designed for seniors and adults with disabilities.

Medical appointments, er-rands and social opportuni-ties i.e. shopping, church.

Social/ rec-reational transportation $17-$20 RT. Wheelchair $25-$30 RT.

None Rates Vary. Will adjust cost to fit individual need.

Joe’s Taxi (336)712-9700

Limited cabs. Must call in advance.

Schedule ahead. Will assist.

N/A

King Medical Transport (336) 528-3762

Non Emergency transporta-tion for those with limited mobility (wheelchair or am-bulatory)

24 hour notice for service. Available 24/7.

$10-$25 base rate + $2/mile Call for quote

N/A Does not accept insur-ance. Accepts credit cards.

Lewisville Transpor-tation Ministry (336) 945-3203

Older adults and adults with disabilities living in Lewis-ville area only. Need 2-3 day notice to get a volunteer. They cannot help persons needing a wheel-chair for mobility

Transport to medical and dental appointments.

Free Service None This program is staffed by volunteers who of-ten establish a relation-ship with the clients

NuCare Carolina (336) 723-6377

Non emergency transporta-tion to Dr. appointments etc. Client must have written statement that is medically necessary to be transported by stretcher.

Cost $250 plus $8 mile.

Bills insurance as needed.

Page 3 of 6

Forsyth County Transportation Services June 2010

Provider Criteria Services Cost Waiting List Comments

Truliant Mobile Transport (now NEPAT) (336)784-1015 or (336)671-9428

Non-emergency wheelchair transportation services pro-vided to the special needs community. Contracting to nursing & rehab facilities, community service organiza-tions, transit authorities, hospitals

Round Trip $45.00 Within City Limits. $1.75 per mile for trips outside city limits.

None Call 24 hours before appt; same day of transport may be pos-sible.

All drivers are certified Para-Transit Drivers trained in: Red Cross CPR Red Cross First Aid Blood-borne pathogen Transportation of spe-

cial needs passengers Proper wheelchair re-

straint techniques Proper wheelchair lift

procedures The Shepherd’s Center of Greater Winston-Salem (336)748-0217

Resident of Forsyth County. Age 50 and older with a need. Must call in to register. Unable to transport wheel-chairs.

Transportation to medical appointments and to gro-cery store ONLY. Allows 1 medical appointment per week and two grocery vis-its per month. Must call no later than Wednesday for appoint-ments in the following week.

No Fee. Do-nations wel-comed. Services pro-vided by vol-unteers using their own ve-hicles. Taxis may be used for emer-gency trips as required.

Currently no waiting list for trans-portation.

There is no van avail-able for transport. Vol-unteers drive their own vehicles and are unable to lift anyone. Client must be ambulatory or able to transition to car. Walkers are usable.

Page 4 of 6

Forsyth County Transportation Services June 2010

Provider Criteria Services Cost Waiting List Comments The Shepherd’s Center of Kerners-ville (336)996-6699

Age 60 and above or perma-nently disabled 18 and above, must live in the Ker-nersville, Walkertown, Oak Ridge Area.

Transportation to medical appts with 2 days notice. Will travel to Greensboro, WS or High Point. Per-sonal errands (grocery, beauty parlor, post office) in Kville available weekly.

No fee Operated by volunteers and retirees.

None Van available for trans-port. Respite 2 hrs/wk), Visi-tation (1 hr/wk) & Daily telephone contact also available.

Wake Forest Uni-versity Baptist Medical Center -Comp Rehab Adap-tive Driving Pro-gram (336)716-8004

For an individuals recover-ing from a physical or men-tal injury or illness. De-signed to help determine if it is safe for an individual to resume or continue driving. A written order from a phy-sician and current driver’s license or permit is required.

An occupational therapist evaluates an individual’s driving skills and assesses the need for special adap-tive equipment if a loss of function has occurred. The evaluation includes both a clinical and behind the wheel assessment.

$410.00—Payment sources may include pri-vate ins., vo-cational re-hab, workers comp or pri-vate payment.

One month notice sug-gested as occupa-tional thera-pist has other duties.

Contact: WFUBMC CompRehab Plaza 131 Miller St. Winston Salem NC 27103 1.800.828.2001 www.wfubmc.edu/rehab

Winston-Salem Transit Authority Regional Non-Emergency Medical Transportation (336)727-2000

For 60 years and older, or disabled. Must have an ADA form completed/ signed/ dated by physician and re-turned to WSTA. Service within city limits; reservations must be made 24 hrs in advance; trips may be scheduled up to 14 days in advance.

To be transported any-where. TransAid vans are equipped with wheelchair lifts.

50 cents each way; free to Medicaid re-cipients

Notify WSTA if using a wheelchair

Trans Aid provides transportation for medi-cal appointments in For-syth Co. Client must have documentation from a doctor on ADA form or receive Medi-caid. Client must be a “register user.”

Page 5 of 6

Forsyth County Transportation Services June 2010

Page 6 of 6

Provider Criteria Services Cost Waiting List Comments

PART Out-of-Region Non-Emergency Medical (336)662-0002

Service for those needing to go to an appointment or sur-gery at Duke Hospital or Chapel Hill Hospital. Also service to local hospitals. Must be able to meet the PART bus, which has sev-eral locations. If client re-ceives Medicare or Medicaid the client must be certified by a Medicaid worker for authorization for the county to assist in payment.

Provides transportation services to and from these locations. Client cannot need help from PART em-ployees. Client may be able to bring someone to assist.

$45 to airport$65 round trip to Duke and Chapel Hill

Call for ap-pointment

PART Out-of-Region Non-Emergency Medi-cal only assists those who need transportation to medical apt. and/or surgery with Chapel Hill or Duke Hospitals. They can transport cli-ents in wheelchairs or scooters. PART also provides transportation back to Forsyth Co. PART offers bus service in the AM and PM.

Piedmont Authority for Regional Trans-portation (PART) (336)235-6653

For ages 60+ or disabled adults.

Can accommodate 2 wheelchairs. Service to various areas in Triad. They have 13 routes.

$1 They are a government entity.