Serving patients across all of Rhode Island

Welcome to the Modivcare Facility web site for Rhode Island. Currently this site hosts information and forms that medical facilities and medical groups can use to schedule transportation for our clients.

The forms on this site are stored in PDF format. Your computer must have Adobe Acrobat Reader installed for you to be able to read and print the forms. If you do not have a copy of Adobe Acrobat, you can download it for free at www.get.adobe.com/reader/.

To create a new reservation, facilities should visit the Facility Services Website.

Did you know that using our Facility Services Website gives your facility the ability to schedule, review, modify, and cancel trips online? Request an enrollment form or print one from our website to sign up for this HIPAA compliant service and return by fax to 877-601-9858.

Woman scheduling ride

Forms

Please click on the title that corresponds to the document you would like to view.

Member FAQs