York Region residents whose disability prevents them from using conventional transit for all or part of a trip apply for Mobility On-Request Paratransit, YRT's door-to-door shared-ride service, with this package. A registered health care professional completes Section B on diagnosis, prognosis, severity, mobility, vision, behaviour and expected duration. YRT staff review complete applications within 14 days.
The applicant or legal guardian completes Sections A, C (when someone else speaks for the applicant) and E, plus optional Sections D and F. A registered health care professional completes Section B, such as a physician, nurse practitioner, registered or registered practical nurse, occupational therapist, physiotherapist, psychologist, optometrist, kinesiologist, speech-language pathologist or social worker.
Download the current version from the source each time; forms change without notice.
Mobility On-Request Paratransit Application Package
Upload the fillable PDF 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.
A form is listed only after its name and number were confirmed on the issuing agency’s or insurer’s own website, or in the form itself. Each entry links to that source. The list was last checked in October 2026. Forms change without notice, so download the current version from the official page before you fill it in.
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A registered health care professional from YRT's list: licensed optometrist or ophthalmologist, licensed physician, nurse practitioner, physiotherapist, psychologist, registered kinesiologist, registered nurse, registered occupational therapist, registered practical nurse, social worker (MSW or RSW) or speech-language pathologist. Missing information on the certification page stops processing.
Yes. Section B must be completed and dated within three months of the application being received. The professional should read the applicant's Section A first, and YRT may contact them to clarify answers, as the applicant authorizes in Section E.
The applicant can call the Contact Centre to arrange an assessment with the Transit Ability Coordinator, and anyone not satisfied with that decision can use the Mobility On-Request appeal process. The coordinator also reviews eligibility regularly and may request an in-person assessment.