ABOH Program Participant Agreement: PART 1, Eligibility (signature required on
pages 2 and 4 – please return entire four-page agreement)

Masking Protocol: Whether a patient and driver wear masks during the transportation service or not is completely at the discretion of the patient requiring the ride.  If a patient requires that the driver wear a mask, the driver must wear a KN95 mask at all times when six feet or closer to the patient.

Welcome to A Breath of Hope Lung Foundation’s Transportation Program. A Breath of Hope
Lung Foundation (ABOH) uses trained volunteers to provide rides to lung cancer screening
appointments, medical appointments, and support group meetings. ABOH conducts a
background check and reviews driving records for volunteer drivers and companions.

To be eligible to receive rides, participants must:

o Be a lung cancer patient at a partner hospital (program is currently offered in the Twin
Cities, Minnesota).
o Be ambulatory (the use of a cane or walker is acceptable, but volunteer drivers cannot
assist clients using wheelchairs).

Program information for those receiving rides:

o The ABOH transportation program is a supplemental driving service.
o You may request rides for one of the following: Screening, treatment, medical
appointments, or a support group meeting. (Pharmacy pick-ups OK after
appointments)
o Be on time for selected pick-up time.
o Call ABOH staff if the volunteer has not arrived for a scheduled ride.
o Inform ABOH staff of any cancellations or changes at least two days before the appointment if possible. Please minimize cancellations.
o Understand that three non-emergency-related cancellations will result in a three month probationary period in which we will not be able to provide driving services to you.
o Always wear a seat belt when seated in the volunteer driver’s car.
o Understand that all rides are subject to driver availability.
o Receive permission from ABOH staff to receive more than twenty rides/year.
o Ride requests made five days or more in advance of the medical appointment allow adequate time to coordinate a volunteer driver for your ride.
o Patients will receive a confirmation call when a volunteer driver is found.
o Do not assume you have a ride until ABOH staff confirm. If a volunteer driver cannot be found for a requested ride, you will be notified 24 hours before your scheduled appointment.
o Volunteer drivers will call you to confirm pick up details the day before the ride.
o If you feel uncomfortable with your volunteer driver or have a complaint about their driving, please contact ABOH staff. A patient has the right to ask the volunteer to return them to their home at any time. Patients are invited to bring one caregiver to appointments if they wish.