Fill out this form to begin the enrollment process into our Platinum Transport Membership Program. The Platinum Transport Membership is a way to secure transport for yourself, or a loved one; 24 hours a day, 365 days a year. As a Platinum Member we will have all of the necessary information on file to streamline the entire transportation process. The perks of being a Platinum Member include exclusive flat rate pricing for members only, safe and secure transport 24/7, and customizable notifications. Once submitted you will be contacted by a member of the First Care Transport administrative staff to discuss all of your options and answer any questions you might have. Thank you for trusting First Care Transport with your Non-Emergency Medical Transportation needs. We strive to make everyone’s lives comfortable, secure, and stress free.