Access is the ADA paratransit service of Cincinnati Metro (Southwest Ohio Regional Transit Authority). The Medical Verification Form gives a licensed provider's written diagnosis and answers to functional questions supporting the applicant's ADA Transportation Application. Metro states that disability alone, or distance to a bus stop, does not qualify, so the provider's explanation of functional limits carries the application.
A licensed healthcare provider (MD, NP or PA) completes Sections I to III, giving a license or certification number and signing the certification. The applicant completes the separate ADA Transportation Application.
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Access Medical Verification Form
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A licensed healthcare provider. The form asks for the provider's title as MD, NP or PA, a license or certification number and hospital or agency affiliation, and the provider certifies that the diagnosis reflects the applicant's current physical or cognitive condition.
No. Access no longer accepts applications by mail or fax. Applicants use the digital application at ezconnect.org or the PDF application, then schedule an in-person functional skills assessment and bring valid photo ID. A decision is sent within 21 days of the assessment.
Using diagnosis codes instead of a written diagnosis, or giving a short answer to the question on how the disability substantially limits major life activities affecting use of Metro. The form warns that this question must be answered in detail or the application will not be considered.