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Get Liftline Application

Ion: Paratransit service provided by Lift Line is curb-to-curb and is provided on an advanced reservation basis. In order to determine your eligibility to use Lift Line, you must: 1. Completely fill out Part I of this application. 2. Complete the Authorization to Disclose Protected Health Information, which accompanies this application. 3. Give the Authorization and Part II of the application to an appropriate licensed or certified professional, who is familiar with and currently treating you.

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