Clients
Forms and Other Documents:
- Northern Minnesota NEMT Brochure
- Northern Minnesota NEMT Brochure (Spanish)
- Northern Minnesota NEMT Brochure (Somali)
- Northern Minnesota NEMT Brochure (Hmong)
- Northern Minnesota NEMT Brochure (Karen)
- Gas Mileage Reimbursement Trip Log
- Gas Mileage Reimbursement Trip Log (Spanish)
- Gas Mileage Reimbursement Trip Log (Somali)
- Gas Mileage Reimbursement Trip Log (Hmong)
- Gas Mileage Reimbursement Trip Log (Karen)
- Ancillary Services Form
- Ancillary Services Form (Spanish)
- Ancillary Services Form (Somali)
- Ancillary Services Form (Hmong)
- Ancillary Services Form (Karen)
- Mileage and Access Services Brochure
- Minor Parental Authorization Form
- Minor Parental Authorization Form (Spanish)
- Minor Parental Authorization Form (Somali)
- Minor Parental Authorization Form (Hmong)
- Minor Parental Authorization Form (Karen)
- Medically Necessary Attendant Form
- Medically Necessary Attendant Form (Spanish)
- Medically Necessary Attendant Form (Somali)
- Medically Necessary Attendant Form (Hmong)
- Medically Necessary Attendant Form (Karen)
- Medically Necessary Distance Form
- Medically Necessary Distance Form (Spanish)
- Medically Necessary Distance Form (Somali)
- Medically Necessary Distance Form (Hmong)
- Medically Necessary Distance Form (Karen)
Remember:
- You can schedule a ride Monday through Friday from 7 a.m. to 6 p.m.
- You must call at least three business days before your routine appointment
- Have your trip information ready when you call
- Be ready at least 15 minutes before your ride is scheduled to arrive
Important Toll-Free Phone Numbers
- To schedule a ride call 1-844-399-9466
- If your ride is late call 1-844-399-9466
- To file a complaint call 1-866-436-0457