Ride Schedule | Community Action of South Mississippi

Please submit your ride request below.

*We require a 48 hour notice prior to scheduling

PLEASE NOTE:
A requested ride is NOT a confirmed ride appointment. A confirmation of the ride will be communicated within 48 hours of the request. Confirmation will be received by email OR telephone.

Ride Request - EAST

Areas serviced: Moss Point, Pascagoula, Gautier and surrounding areas.

If you are having difficulty scheduling a ride, please contact us at, (228) 471-1243, so we can better assist you.
Your Name*
First Last
Your Email
Your Address*
Street Address Address Line 2 City State ZIP Code
Your Phone Number*
Appointment Date*
MM slash DD slash YYYY
Appointment Type*
- Doctor's Appointment
- Physical Therapy
- Other
Specify if other:
Appointment Address*
Street Address Address Line 2 City State ZIP Code
Notes
CAPTCHA

Ride Request - WEST

Areas serviced: Ocean Springs and St. Martin.

If you are having difficulty scheduling a ride, please contact us at, (228) 230-1900, so we can better assist you.
Your Name*
First Last
Your Email
Your Address*
Street Address Address Line 2 City State ZIP Code
Your Phone Number*
Appointment Date*
MM slash DD slash YYYY
Appointment Type*
- Doctor's Appointment
- Physical Therapy
- Other
Specify if other:
Appointment Address*
Street Address Address Line 2 City State ZIP Code
Notes
CAPTCHA