Houston METRO requires pages 5 and 6 of its METROLift application, the Physician or Health Care Professional's Certification, before deciding ADA paratransit eligibility. The clinician rates strength, balance, judgment and other abilities, estimates how far the applicant can travel alone, and explains what prevents use of METRO bus and rail. An in-person interview follows.
The applicant completes pages 1 to 4 of the application. A physician or health care professional, including a licensed medical social worker, answers the 13 questions, signs the certification, and adds a second signature on letterhead or a prescription confirming they completed it.
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Physician or Health Care Professional's Certification (Application for METROLift Service)
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A note at the bottom of the certification states that an additional signature of the physician or health care professional, on their letterhead or prescription paper and verifying completion of the application, is required. It is separate from the signature on page 6, so the clinician should send both together to avoid delays.
The form is addressed to the applicant's doctor but titled for a physician or health care professional, and its license line accepts a medical or social worker's license number. The signer certifies that the answers fairly represent the applicant's impairment and agrees that METROLift may contact them for clarification.
Medical diagnoses in layman's terms, specific information about what prevents the patient from using local bus and rail, whether the condition is permanent or temporary in months, wheelchair use and other mobility aids, and whether the disability requires traveling with a personal care attendant.