VIA Metropolitan Transit's VIAtrans application decides who can use its curb-to-curb ADA paratransit service in San Antonio. Pages 5 to 7 are the medical section, completed by a doctor or other medical professional familiar with the disability: the main barrier to riding the bus, assistive devices, safety for assessment tasks, functional limitations and ICD-10 codes.
The applicant completes pages 1 to 4 and must leave pages 5 to 7 blank. A doctor or specialist providing treatment completes the medical section, initials any corrections, enters NA or DK instead of leaving blanks, and signs with license number and specialty.
Download the current version from the source each time; forms change without notice.
VIAtrans Service Application (medical section, pages 5-7)
Aplicación de Servicio de VIAtrans
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.
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Yes. VIA publishes the VIAtrans Service Application in English and Spanish (Aplicación de Servicio de VIAtrans), both dated January 2023. The medical section has the same structure in each, and the applicant can mark Spanish as the language of choice on page 1.
The instructions tell medical professionals not to complete any part of the application if pages 5, 6 or 7 have entries when delivered to the office. VIA will not process an application where the applicant completed any part of the medical section, and heavily edited applications are also rejected.
No. VIA requires the original application and prints 'do not submit copies, do not fax, do not email' on the form. The completed original goes to the Accessible Services Department at the VIA Metro Center by mail or delivery. Applicants should hear within 21 days of a complete application.