Sacramento Regional Transit requires this one-page professional verification with every application for SacRT GO ADA paratransit service. A qualified professional lists each diagnosis that keeps the applicant from independently using a lift-equipped bus or light rail train, and explains how. Without it, the application is returned and processing is delayed.
A professional, never the applicant, completes and signs the whole form: a physician, PA, RN or nurse practitioner, psychiatrist, psychologist, social worker, chiropractor, physical or occupational therapist, certified orientation and mobility specialist, or speech-language pathologist. The applicant completes the separate eligibility application.
Download the current version from the source each time; forms change without notice.
Professional Verification (Required) - SacRT ADA Paratransit Eligibility
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.
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 and their requirements change without notice, so check the official page for the current version before you complete one.
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Any one of the listed professionals: physician, physician assistant, registered nurse or nurse practitioner, psychiatrist, psychologist, social worker, chiropractor, physical therapist, occupational therapist, certified orientation and mobility specialist, or speech-language pathologist. They check their title, certify under penalty of perjury and give a license, registration or certification number with state.
The form states that it expires 90 days from the signature date, so a verification signed more than 90 days before SacRT reviews it is out of date. An application without a completed and signed verification is returned to the applicant, which delays the eligibility decision.