Embedded Files
If your student does not have a VTA RTC card, please submit the completed form below.
RTC App - Clipper_Medical Eligibility Application_v7.pdfPlease complete the "Medical Eligibility Application" RTC Card, and return to your student's Case Manager.
Your Adult Student must sign the form if they are over 18 years old or are not conserved.
Conservators must sign the form for students who are conserved and include a copy of the conservatorship paperwork.
DO NOT MAIL DIRECTLY TO THE VTA OFFICE
Please contact your student's teacher directly with any questions.
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