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I will need a back up transportation getting to and from specialist out of my area.

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Lorrie, this question is asked frequently.

You can also find answers by checking out these other posts here:

https://www.agingcare.com/search.aspx?searchterm=transportation+for+seniors

https://www.agingcare.com/search.aspx?searchterm=paratransit+for+seniors

However, if you're looking for "backup", or something like standby transportation, you might have a harder time. Most of the paratransit options of which I'm aware require booking in advance.

Could you explain your situation? Do you have transportation but are unsure of its reliability?
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Your best bet is to contact your local Agency on Aging to see what is available.
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