• Your full name, phone number, address, date of birth, and county of residence
• Your ID number as it appears on your insurance card and date of birth
• Specify any special needs (for example, oxygen, escort, over-sized wheelchair, service animal) when you schedule the appointment
• An emergency contact’s name and phone number
• Destination information including address, phone number, doctor’s name, type of appointment, and name of the medical facility
• Your mobility status (walking and wheelchair)