Transportation Eligibility Form

"*" indicates required fields

Gender*
Race*
Ethnicity*
Are you a veteran?

Mobility Status and Assistance Needs

What is your mobility status?*
Do you use any assistive devices?*
If yes, which device(s)?
Do you have a service animal?

Emergency Contact Information

Additional Information

Funding Sources

How will my ride be funded? Help us help you. Please check all that apply below.
Age*
Are you eligible for Colorado Medicaid, HealthFirst?*
Do you have a Metro Mobility Pass for the city of Colorado Springs?
SAFE TO RIDE: A letter from our Executive Director

The COVID-19 virus has impacted everyone. Here at envida, we have remained open as an essential transportation and homecare business, supporting our governor’s “stay at home” order and now “safer at home.” As restrictions begin to lift, we are taking every precaution to ensure our clients and riders are safe. Most importantly, we want to communicate to our riders that it is SAFE to RIDE.

Our drivers wear gloves and masks, and we request that riders have masks or scarves. We have installed antimicrobial film on interior bus surfaces that require a high degree of hygiene. We disinfect vehicles after each rider, and we will open windows for fresh air, weather permitting. We have expanded service hours to meet riders’ needs: We are open from 5 a.m. to 7 p.m. Our rural routes along U.S. Highway 24 and S.H. 94 have re-opened; the Calhan route operates Monday through Thursday, and the Ellicott/Yoder route operates Wednesdays and Fridays. We have also begun serving Teller County to help those with medical and behavioral health needs access healthcare providers in Colorado Springs.

For information about our transportation services, questions, or updates, please visit our transportation pages at www.envidacares.org or call our transit line at 719-633-4677.

Additionally, for our home care clients, we offer telehealth visits and our homecare attendants have been well versed on how to keep themselves and clients safe. For more information on telehealth visits, please call 719-301-6870.

We are closely monitoring the COVID-19 situation and will continue to take actions necessary to keep our clients, riders, staff and community safe and healthy. Any further updates will be posted here or you can call us at 719-633-4601. envida cares.