Residents of Brampton, Mississauga and Caledon apply for TransHelp, Peel Region's specialized door-to-door transit, with this application. A health care professional completes Section C, describing each disability as permanent, temporary or episodic, its impact on independent travel, recent functional assessments and any need for a support person. Peel decides eligibility within 14 days of a complete application.
The applicant or representative completes Sections A and B. A licensed professional appropriate to the disability, such as a physician, nurse practitioner, psychiatrist, psychologist, physiotherapist, occupational therapist, optometrist, audiologist, chiropractor, speech-language pathologist or regulated social worker, completes Section C; a registered nurse may complete it for long-term care residents.
Download the current version from the source each time; forms change without notice.
TransHelp service eligibility application form
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 regulated or licensed MSW, BSW, RSW or RSSW, or a licensed professional appropriate to the disability: physician, nurse practitioner, psychiatrist, physiotherapist, optometrist, audiologist, psychologist, chiropractor, occupational therapist or speech-language pathologist. Peel's page adds that a registered nurse may complete it for people in long-term care.
Peel Region decides within 14 days of receiving a completed application, including the medical portion. Missing information can cause the form to be sent back, and applicants may also be asked to attend an in-person functional assessment before a decision is made.
No. Applicants who need help from another person must bring their own support person, who must be able to meet their care needs during travel and cannot need support themselves. Section C asks whether a support person is needed always, sometimes or never.