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Non-Emergency Medical Transportation serving Nashville, Smyrna, Murfreesboro, Antioch, La Vergne, and surrounding Middle Tennessee communities.

Important Notice

Please ensure that all required fields in the form are completed accurately before submitting. If you experience any difficulty accessing the form or are unable to complete the submission, please contact us directly at (615) 779-2210 for assistance.

    Requester Information

    Full Name*

    Company / Organization / Person Name

    Phone Number*

    Email Address*

    Trip Details

    Pickup Address

    Drop-Off Address

    Pickup Date & Time

    Number of Passengers

    Return Trip Details

    Return Date & Time

    Medical Appointment Details (Optional)

    Clinic or Hospital Name

    Appointment Time

    Return Pickup Needed?

    Additional Notes

    We’re Here to Help

    Your questions matter to us. Connect with our team for support and information.

    Address

    138 Neccee Dr, Smyrna, TN 37167

    Phone

    (615) 779-2210

    Email

    info@betheltrip.com

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