DART uses this one-page verification for paratransit applicants with a behavioral health condition, an intellectual disability, a pervasive developmental disorder such as autism, or a related condition such as traumatic brain injury. It records the disability type and the date the determination was made or confirmed. DART's eligibility page lists it as the Cognitive or Intellectual Verification of Disability Form.
Either the local intellectual and developmental disability authority, named on the form as the Mental Retardation Authority, with its service coordinator, or a clinician or therapist giving credentials, license number and state, completes and signs it.
Download the current version from the source each time; forms change without notice.
Verification of Behavioral Health or Intellectual Disability (DART Paratransit Services)
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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The form offers two signers: the local authority for intellectual and developmental disabilities, identified with its service coordinator and phone, or a clinician or therapist who lists credentials, license number and state. Either one verifies the disability type and the date it was determined or confirmed.
Yes. DART's eligibility page links to it as the Cognitive or Intellectual Verification of Disability Form, while the printed title reads Verification of Behavioral Health or Intellectual Disability. It is one of the three physician verification forms DART lists, alongside the general and visual-impairment versions.