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Is the client currently using CityRide and/or Access? YES Client is not qualified for Prop A Door-to-Door Transportation unless there is a change in their circumstance where they need door-to-door service In the event of that change, the client must provide a certification form signed their physician to prove the necessity of door-to-door service     NO Is the client at least 65 years of age and require door-to-door assistance? YES Can the client provide a certification form signed by their physician to prove the necessity of door-to-door service? YES The client is eligible for the Prop A Door-to-Door Transportation Program     NO NO YES Is the participant disabled due to a physical and/or mental impairment and requires door-to-door assistance? YES Can their caregiver or case manager sign the certification form if the participant has dementia or other mental impairments?       NO NO   The participant is not eligible unless they can prove the necessity of door-to-door service       NO