SEPTA Access, the ADA paratransit service for Philadelphia and the surrounding counties, asks applicants with a visual disability to have an eye doctor complete the Vision Disability Only page. The doctor reports corrected visual acuity, visual fields and the functional effect of the vision loss. The page goes back to SEPTA Access with the ADA application and feeds into the eligibility decision.
An ophthalmologist, optometrist or neuro-ophthalmologist completes the whole page. The applicant completes the ADA application and the release of information in the same packet.
Download the current version from the source each time; forms change without notice.
Vision Disability Only (To be completed by Vision Doctor) - SEPTA Access ADA Paratransit
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The Vision Disability Only page is for an eye doctor: an ophthalmologist, optometrist or neuro-ophthalmologist. It asks for corrected acuity, visual field measurements and how the vision loss affects the person's ability to use regular SEPTA service, so it should come from a clinician who has examined the patient's eyes.
No. The Functional Verification Form is a separate, longer section of the ADA Application Packet in which a licensed professional describes the applicant's skills for using buses and light rail. The vision page is a focused eye report. Both are returned to SEPTA Access with the ADA application.