| Document Date: 2015-06-08 22:17:21
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Facility West Annex Transit Center Torrance City Hall / Facility Address / Treatment Facility / / IndustryTerm transportation dysfunctional impairment / i.e. gas / / MedicalCondition pain / Advanced connective tissue disease / fatigue / Diseases / HIV / chronic symptoms / Total deafness / AIDS / ataxia affecting two extremities PHYSICAL IMPAIRMENTS / Arthritis / Amputation/Deformity / hearing loss / Autism / Pseudobulbar Palsy / Stroke / Syndrome / Polyarteritis Nodosa / fibrous ankylosis / Chronic Progressive Debilitating Disorders / / MedicalTreatment Amputation / Dialysis / kidney dialysis / / Organization American Psychiatric Association / dexterous / / Position Physician / walker / Audiologist / Podiatrist / Physician Information Physician / Optometrist / / ProvinceOrState California / / Technology x-ray / Dialysis / /
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TORRANCE COMMUNITY TRANSIT PROGRAM ELIGIBILITY FOR DIAL-A-TAXI TICKETS (To be completed by Certifying Professional. Please refer to criteria for qualifying medical disabilities) The following health care professionals ma