TIERS, Inc.
Medical Transportation For The River Communities

Since 2003, Thousand Islands Emergency Rescue Service has served northwest Jefferson County with top-quality emergency medical care and transportation. Through a generous donation from River Hospital, we now offer non-emergency transportation for folks with mobility and transportation problems--at a very reasonable cost.
OUR SERVICES
Our van undergoes rigorous top-to-bottom state safety inspections and our drivers are state-certified and specially trained to provide safe, comfortable and compassionate service in a relaxed atmosphere.
All Ages and Levels of Disability Accommodated*
Service For Wheelchair-Bound and Seating For Walking Clients
Doctor, Dentist or Other Medical Appointments: Dialysis, Cardiac Rehabilitation, Wound Care, Prosthetic Fittings
Coming Home From, Going To or Transferring between Hospitals, Nursing Facilities or Rehabilitation Centers (Instruct your Discharge Planner to call us)
Family Events, Weddings, Church Services, Baptisms, Kids and School Events, Funerals--Or Just A Ride In The Country For The Homebound
Family, Friends or Caretakers Can Always Ride Along With You
Use Your Wheelchair, Power Chair, Scooter, Orthopedic Chair or Use Our Standard Wheelchair (Large Chair Available with Advance Notice), at no extra charge.
Service To Syracuse and Any Destination Within New York State
Overnight Service With Advance Notice
We Accept Most Insurances or Make Private Pay Arrangements
* State law prohibits TIERS Inc. from taking any responsibility for patients with oxygen unless they are able to recognize and solve problems with their oxygen themselves, or are accompanied by someone qualified and able to do so. Stretcher and acute/advanced medical care transportation is available through Thousand Islands Rescue.
(315) 686-4333
Medicaid patients: You must call Coordinated Transportation Services first for trip approval and scheduling or Medicaid will not pay for the the trip! Call CTS toll-free at 1-800-818-6781. Make sure that you request TIERS and give them our phone number: 315-686-4333
HOW TO BE READY BEFORE YOU CALL US
When you call us, there are a lot of questions we have to ask you. Here is a list of questions that you should have answers ready for:
the address where we will pick the client up, phone number, and a name and contact number for a responsible friend or family member
the name of the doctor being seen, and the address and telephone number of the office, clinic or facility where the client will be seen
does the person being transported weigh over 200 pounds?
is your wheelchair a specialized chair (orthopedic or extra size)?
are there stairs or porch steps that must be used to move the wheelchair?
is there a wheelchair ramp at the client's home?
will we need to cross a lawn with the wheelchair (no sidewalk)? (this is especially important with heavy clients, in rainy weather or during thaws when the ground is soft, and in winter because of snow and ice)
FOR YOUR PLANNING
TOTAL AVERAGE TRIP TIMES
Based on Two Hour Doctors Appointment
(includes 15 minutes for pickup and 15 minutes for drop off)
Clayton-Watertown-Clayton .. 4 hours
Clayton-Ogdensburg-Clayton .. 5 hours
Clayton-Carthage-Clayton .. 4.5 hours
Clayton-Syracuse-Clayton . All Day
![]()
HOSPITALS In addition to the sheer size of hospitals, they are never ready when it's time to pick a client up. Allow at least 45 minutes for a pickup.
DAY/OUTPATIENT SURGERY: There are different surgery suites, depending on the procedure. Allow 45 minutes for the drop off in the morning and 30 minutes for the pickup in the afternoon.
Remember to allow for travel from Clayton to the clients address, especially out in the country or in other villages.
PICKUPS:
The most simple pickup will take 15 minutes to get in the house or doctors office, wheel the chair out, load it on the ramp, and fasten the chair in place; the same for simple drop offs.
Allow 15 minutes per pickup and drop off but the following special circumstances need longer times:
STRAWBERRY LANE: allow 25 minutes
PENET SQUARE: Allow 25 minutes
SAMARITAN MEDICAL BUILDING, 826 Washington St. (except Dr. Willis office): 25 minutes
MEDICAL ARTS BLDG, Clinton Street: Allow 25 minutes