Spokane Transit Authority (STA) has the need for medically related consultation services related to ADA Paratransit Services. The objective is to supply information to STA staff on various physical, cognitive, and psychiatric conditions and how a condition affects, or may affect, a specific person’s functional abilities. The medical conditions requiring consultation will arise from applications to STA’s Paratransit services program. STA staff processes applications for Paratransit services in accordance with Title II (b) of the ADA – the Americans with Disabilities Act of 1990 (amended October 19, 2011). STA staff may ask the contractor to clarify medical information from an application or assessment. If additional medical information is required, the Registered Nurse professional will research the issue and provide an electronic written report regarding the condition and its possible/probable effects on the person’s functional abilities and limitations related to transit services. Research methods may include but are not limited to consultation with other medical professionals, condition questionnaires, medication review, etc. Similar medical consultations may be requested if an applicant appeals the original eligibility determination. Similar medical consultation may be requested if STA’s Paratransit is researching or piloting a new technology or service enhancement. Research and subsequent reports will need to be accomplished according to time-sensitive deadlines. STA has an obligation to notify a Paratransit applicant of their eligibility determination within twenty-one (21) days of receiving their completed application. STA projects that it will seek medical consultation services for approximately ten (10) to twenty-five (25) applications per month.