Fund Texas Choice

 
If you are already in the same area as your clinic, you may have a local travel network.  
 
If you see your area listed, please call! They can help better than Fund Texas Choice can.
 
HOUSTON: Call or text Clinic Access Support Network at 281-947-2276. (ClinicAccess.org)
  
AUSTIN or SAN ANTONIO:  Call The Bridge Collective at 512-524-9822. (TheBridgeCollective.org)
 
RIO GRANDE VALLEY: Call La Frontera Fund at 956-307-9330. (LaFronteraFund.org) 
 
 
If you do not see your area listed, please fill out the following form.
 

Application for Transportation Assistance

Please fill out this form as best you can, and someone will get back to you within a few days.  None of the fields are required except for Date of Birth.  We deeply respect your privacy and will keep all of your information confidential.
 
If you need other resources, don't forget to look here.
 
 
Unfortunately at this time, ONLY Texas residents are eligible for assistance. 
calendar
Who is filling out this form?
 
Do you need help traveling to your appointment or with a place to stay while you're in the city of your appointment?  TRAVEL & HOTEL ARE THE ONLY THINGS WE CAN HELP WITH. If you don't need travel help, please go back or click here to find other resources.
 
calendar
Age of the person with the appointment *
 
FOR MINORS:  
 
If you are a relative or friend filling out this application for a minor, we will need to speak with them directly to get consent before we will provide funding.
 
If you are under 14, or filling out this form for someone under 14, we are required by state law to report this form to CPS.
 
-------------------------------
Whose phone number is this?
 
Will the person with the appointment have access to this phone while traveling?
 
Is it safe to leave a detailed voicemail on this phone?
 
Is it safe for us to text this phone?
 
If someone else answers the phone, can we talk to them?
 
Do you have an appointment already?
 
calendar
calendar
What state are you starting out in? PLEASE NOTE: Only Texas residents are eligible for our funding assistance.
 
What city do you need to get to?
 
What state is your appointment in?
 
Were you planning on driving?
 
Would you be willing to take a bus?
 
Do you have a place to stay once you get there?
 
Do you know anyone in the city where you're going?
 
Is someone coming with you?
 
What's the name of the clinic you're going to?
 
Do you have health insurance?
 
Have you gotten funding from any other organizations?
 
Are you experiencing medical complications?
 
Clinics won't let you bring your kids with you if there isn't someone to watch them. If you have kids, do they have someone to stay with during this trip?
 
Do you have a photo ID for travel purposes?
 
Do you have access to the internet?
 
How did you hear about us?
 
Would you be willing to speak anonymously to a reporter or journalist about your experiences?
 
NOTE: By clicking "Next" you are SUBMITTING YOUR FORM. Be very sure that you are ready to submit!
Powered byFormsite