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Core request details for dispatch and verification.
Select dates, set a default time, and optionally adjust specific days.
Will Call for each scheduled date — no specific time needed.
Where we pick the patient up from.
Will Call — patient will call when ready for pickup.
Where we need to take the patient.
Return pick-up starts from the drop-off location.
Must be after the initial pickup/appointment time.
Patient will call when ready for return pickup.
Add extra stops if this trip has more than two legs.
Final contact details for confirmation and coordination.
Trip Request Submitted
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