Saskatoon's Access Transit, a shared-ride specialized service for people whose temporary or permanent disability restricts use of regular buses, needs this external assessment alongside the applicant's Part A. A health care practitioner familiar with the disability describes objective restrictions, how they vary by season or time of day, and the expected duration of need. Applications are not considered until both parts arrive.
A registered nurse, nurse practitioner, registered psychiatric nurse, licensed practical nurse, occupational therapist, physical therapist, rehabilitation therapist, optometrist or physician familiar with the applicant's disability completes and signs all of Part B. The applicant or a designate completes Part A.
Download the current version from the source each time; forms change without notice.
Access Transit Application Form - Part B
If your copy of the form is a fillable PDF, upload it once and Vero Documents fills it from the visit note and the chart, ready for you to review and sign. Download, print, or email the finished form, with the patient’s consent.
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A health care practitioner familiar with the applicant's disability: registered nurse, registered nurse practitioner, registered psychiatric nurse, licensed practical nurse, occupational therapist, physical therapist, rehabilitation therapist, optometrist or physician. The practitioner records their specialty, relationship to the applicant and how long they have been involved in assessing the condition.
Part B asks whether you completed a functional ability assessment or a cognitive assessment during the appointment and, if so, to explain it and give the date. It also asks for the applicant's current treatment plan and whether their restrictions are expected to change over time.
Objective medical restrictions in walking, mobility, strength and endurance, vision and perception, memory and cognition, behaviours affecting travel, and other health concerns such as diabetes, obesity or angina. The practitioner also notes whether restrictions vary by season or time of day, for example at night or in winter.