RIDE-AWAY 877-659-9414

Request A Wheelchair Van Service Appointment

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Ride-Away Toll Free:
877-659-9414

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Request A Wheelchair Van Service Appointment

Our Service department is staffed with the most qualified Service Technicians ready to answer your questions and address your service needs regarding your wheelchair van and adaptive equipment. Use our online form to request a wheelchair van service appointment or contact our service department at 877-659-9414 if you have any additional questions.

* indicates required fields.

Contact Information

First Name:*	Last Name:*
Telephone:*	Zip/Postal Code:*
Email Address:*

Vehicle Information

Year:*	Model:*
Make:*	Last 8 numbers of VIN: (Optional)
Brief Description of Problem:*

Appointment Information

Preferred Appointment Date:

Please select a calendar date that is best for you.

Preferred Appointment Time:

Request Validation

*This form does NOT schedule an actual service appointment but simply submits your service request information.

^SMHASCO MEDICAL is a service mark of Hasco Medical, Inc.

Ride Away Handicap Equipment Corporation is a division of Hasco Medical, Inc.

Serving Massachusetts, Pennsylvania, Virginia, Maine, Connecticut, New Hampshire, Vermont, Florida, Maryland

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