FOR PROPER PROCESSING, INDIVIDUAL DIALYSIS PATIENTS ARE ENCOURAGED TO FILE TRANSPORTATION REQUESTS THROUGH THE ATTENDING SOCIAL WORKER AT THEIR CHOSEN FACILITY
If you have any questions regarding this form or any others listed here please call
This online application is for a Gloucester County resident that is requesting special transportation.
Please be aware that this transportation is Monday through Friday only.
For those that have trouble completing the online form,
please download the DTS Referral Application and mail or fax after completion.
Mailing address and fax number on bottom of the form.