Medical Ride Sign Ups
In partnership with the Winchendon Senior Center the Winchendon CAC will provide Winchendon Residents under 55 medical rides! Rides will be available Monday - Thursday between 8:30am and 4:00pm. We need you to provide us with a minimum of a one week notice in order for us to facilitate this ride! Appointments need to be located in the North Central Mass area. Reminder, you will be responsible to provide a car or booster seat for any babies or toddlers required to use them. 
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Email *
What is your full name? *
What is your address? *
What is your phone number? *
What is your email address?
What is your preferred method of contact? *
How many people will need a ride, children or spouses? Please provide their ages. *
What day is your appointment? *
What is the date of your appointment? *
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What time is your appointment? (MUST FALL WITHIN 8:30am and 4:00pm TIMEFRAME INCLUDING PICK AND DROP OFF TIMES) *
Time
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What is the address of your appointment? *
How long do you expect your appointment to take? *
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