To Apply for the UpLift ADA Paratransit Service, please complete the online form below. If completing the online form, please print the Medical Paper Form to the right for your physician to fill out. Applications cannot be processed without professional verification.
Click Here to download, print and complete the Paper Application.
Please note that the last page of the paper application needs to be filled out by your physician and turned in either with your packet or shortly thereafter. The Professional Verification is required to process your application.