You can add these fees and tolls to your medical expenses whether you use actual expenses or use the standard mileage rate.taxmap/pubs/p554-012.htm#en_us_publink100043708You can also include:(p27) Bus, taxi, train, or plane fares or ambulance service, andTransportation expenses of a nurse or other person who can give injections, medications, or other treatment required by a patient who is travelin