Instructions for Health Care Provider Certification
If you are applying based on age alone (65+) and do not have a disability that limits your mobility, you do not need to submit the health care or service provider form.
For all other applicants, we strongly encourage submitting the provider form on the next page. This form should be completed by a doctor, therapist, nurse, case manager, or other licensed professional who understands how your condition affects your ability to use public transportation.
Please be sure to include your name and signature at the top of the form.
What Happens Next
- When you submit your form, you will receive an email with a link to the Health Care Provider Verification Form. You can also access it as a separate download on our website.
- We will review and process all completed applications within 21 business days.
- During that time, you may be contacted for a phone interview (or video conferencing if preferred - Zoom/Teams), if we need more information.
- You’ll receive a written decision by mail (or email if indicated).
- If denied, you may request a formal appeal.
Questions?
Call: 913-362-3500 opt 2
Email: mobility@jocogov.org
*After submitting your application, you will be redirected to complete the Healthcare Provider Form. You can also find the link at the bottom of your submission email.*