The Roll-In Chair Cot is an emergency patient-handling device designed to transport a patient in a ground-based ambulance. The cot converts to a four-position chair for use in confined spaces and/or for patient comfort. The cot is for professional use by a minimum of two trained operators. Additional help is needed when folding the cot with a patient on it. The cot is designed for roll-in loading to help reduce the risk of back injury to medical service personnel.