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We don't own a car. She uses a walker and w/c when out. Ambulance costs over $700.00 round trip if not for emergency.

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Is it possible for someone to wheel her out front?

Maybe the driver can push her from the back to the van.
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Are the steps at home? Or the eye dr?
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How old is your mom? Is there anyway for her to do PT to regain the ability to use steps? Does she need an ambulance transport or just a ride? I would think there are caregiving aides that can take someone like your mom to an appointment, costing a lot less than $700. I would also look to limit her appointments until and unless you find acceptable transportation.
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Can a wheelchair ramp get her to where she needs to be? Apparently, habitat for humanity, lions and Masonic will do that for free.
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