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Syracuse City School District School Health Services 1025 Erie Blvd. W. Syracuse, New York 13204 Phone: 4354146 Fax: 4354859 Temporary Transportation for Medical Reasons Rev. 3/10 Pupils Name: Address:
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Step 1: Obtain a transportation for medical reasons doc form from your healthcare provider or clinic.
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Step 2: Fill out your personal information in the designated spaces on the form, including your full name, date of birth, address, and contact information.
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Step 3: Provide details about your medical condition or reason for needing transportation for medical reasons. Be as specific as possible to ensure a proper evaluation.
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Step 4: If necessary, include any special requirements or accommodations you may need during transportation, such as wheelchair accessibility or medical equipment.
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Who needs transportation for medical reasonsdoc?

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Individuals who have medical conditions that prevent them from using public transportation or driving themselves.
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Patients who require regular medical appointments, treatments, or therapies and have difficulty accessing transportation.
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Elderly individuals or persons with disabilities who need assistance and specialized transportation services for medical purposes.
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Those with temporary medical conditions or recovering from surgeries or injuries that hinder their ability to travel independently.
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Patients with contagious diseases or conditions that require them to be transported separately from other individuals.
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Transportation for medical reasons doc is a form used to request transportation services for medical appointments or treatments.
Patients who require transportation assistance for medical reasons are required to file transportation for medical reasons doc.
To fill out transportation for medical reasons doc, the patient must provide their personal information, medical details, appointment or treatment information, and any specific needs or requirements for transportation.
The purpose of transportation for medical reasons doc is to ensure that patients have access to necessary medical appointments or treatments by providing transportation assistance.
Information such as patient's name, contact information, medical condition, appointment details, preferred mode of transportation, and any assistance needed during transportation must be reported on transportation for medical reasons doc.
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