Apply for Service

Who is Eligible?

Do you, or someone you know, have difficulty meeting your healthcare needs due to a lack of transportation?

Green Cars for Kids is a 501(c)(3) nonprofit organization that provides transportation to medical, dental, and mental health care services for children and expectant mothers who are transportation disadvantaged. Funding for our service is provided by caring and concerned individuals, foundations, corporations, local governments, and other organizations with an interest in improving the health and wellness of children. We currently serve pregnant women and children in Broward and Miami-Dade counties, Florida only.

Important Note: We currently serve patients in specific Broward County areas. If you need a ride to a healthcare appointment, please call 954-759-6706 if you live in the following zip code areas: 33311, 33313, 33309, or 33319.

If you live in Miami-Dade County and are a patient at the Women’s Hospital at Jackson Memorial, please call

305-585-4247

Fill out the form below To Begin Requesting A Ride:

Request A Ride

Patient Name(Required)

First Middle Initial Last

Is The Patient A Minor?(Required)

Guardian/Parent Name of the Patient(Required)

Patient Best Contact Phone Number(Required)

Patient Email(Required)

Patient's Racial and/or Ethnic Identity(Required)

Patient Mailing Address

Street Address Address Line 2 City State ZIP Code

Patient Birth Date(Required)

Last 4 Digits Of Patient's Social Security Number(Required)

Patient Pick Up Address(Required)

Street Address Address Line 2 City State ZIP Code

Patient Drop Off Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Reason for Transportation Request(Required)

How Long Will Your Appointment Be?(Required)

Apply for Service

Who is Eligible?

Fill out the form below To Begin Requesting A Ride:

Request A Ride

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