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Consumer must wear masks, except if unable to wear a mask due to a medical condition or otherwise exempted by the Centers for Disease Control and Prevention January 29, 2021 Order.
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Please contact your broker for booking
'Door to Door'
OR
'Door through Door'
trips.
Please Select a PT1
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My Pickup Addresses
Destination
My Destination Addresses
Appointment Time
Depart At
Arrive By
Appointment Date
Travel Date textbox, want to select date, press enter key.
Select Travel Date
Each instance of your home address is linked to only one facility address.
Please make sure to select the home address with the same PT1 number as your desired facility address.
Round Trip
Additional Information
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Additional Information
Additional Information grid
Funding Source
Trip Purpose
Comments:
Alternate Phone
Number of Escorts
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Day Of Week
Select the day(s) of the week you would like to book a recurring ride.
Sun
Mon
Tue
Wed
Thu
Fri
Sat
Pickup Time
Sunday
Monday
Tuesday
Wednesday
Thuesday
Friday
Saturday
Return Time
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
No Of Weeks
Starting on
Ending on
Choose your address
Address:
Address:
Long:
City
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County
hdnCliendID
hdnMMISID
hdnUserName
hdnRegion
hdnTrackRegType
hdnBookingPage
hdnExistingContactNo
hdnExistingEmailID
hdnRegistrationType
hdnTempFPID
hdnTimeDepart
puAdrLatLong
Pick-Up Address City
Pick-Up State
Pick-Up County
Pick-Up Zip
Pick-Up CountryID
Drop-Off Address Lat Long
Drop-off City
Drop-Off State
Drop-Off County
Drop-off Zip
Drop-off CountryID
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hdnTripTenantID
hdnSecKey
hdnAddressRqstr
Additional Pxngr Data
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How to book a ride
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User ID
Phone Number or Email Id
Select User Type
Select User type
Consumer
Facility
Provide your registered (MMIS) Mass Health Card Number
Phone Number or Email Id
Error:
Special Comments
Registration
CheckAndClear
Facility Name
Client ID
@
First Name
@
Last Name
password
Confirm Password
txtUserEmail
Contact Number
Broker ID
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Password
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Password must be at least 8 characters long.
The password must contain:
At least one lowercase character (a-z)
At least one uppercase character (A-Z)
At least one numeric character [0-9]
Allowed special characters: !@#$%^&*()
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Email ID
User ID
Mobile no
First Name
Last Name
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Rider
To book a ride, Please install the QRyde Rider App available on both - Google App store and Apple app store.
Verification
Error:
Verify your MMIS Number and Date of Birth
MMIS Number
Date of Birth
Please select an address from the list below
Covid Confirmation
We have moved.
We are redirecting you to the new site
https://catapt1.com
