Free eligibility check · about two minutes Start
Provider Notes
(754) 233-0586 Mon to Fri, 9am to 6pm ET Check if you qualify

Your Handicap Placard Form, Completed Online

A licensed doctor evaluates you online. If you qualify, you park by the door again.

Reviewed by a licensed doctor Licensed doctor 5.0 from 14 ratings ›
Check if you qualifyFree · about 2 minutesHow it works
Grandparents walking out of a store with their granddaughter, holding hands
  • 5 stars from 14 patient ratings
  • Licensed doctors in your state
  • Free to check no card needed
  • No office visit from your phone

What a Placard Gives Back

A placard is not about the car. It is about the walk from the car.

A disabled parking placard hanging from a car’s mirror

Park by the Door

The closest spaces at the store, the pharmacy and the doctor’s office.

Less Walking on Hard Days

When every step counts, the distance from the car matters most.

Keep going with the people you love Keep going with family

You can keep going to church, the grandchildren’s games and lunch with friends. A placard works in any car you ride in.

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How It Works

Four steps from your phone or computer, in about 15 minutes.

  1. 1
    Start here Free, about 2 minutes

    See If You Qualify

    Answer seven short questions. You find out right away whether a doctor can evaluate you.

    Check if you qualify

    Helping a parent or spouse? You can fill in the check for them.

  2. 2
    Nothing charged yet

    Save a Card

    Your card is saved securely. Nothing is charged until your evaluation begins.

  3. 3
    About 10 minutes, from home

    Tell the Doctor About You

    Sign four short forms, answer the doctor’s questions and add a photo of your ID. Your progress is saved.

  4. 4
    Your choice

    Your Evaluation

    Choose a case evaluation in writing or a short video visit. If certified, your completed form arrives by email.

Helping a Parent or Spouse?

Applying for a parent or spouse? You can handle almost everything for them, and every email comes to you.

Helping them

They are with you. You do the typing. You do the typing

They agree to the evaluation and answer with you. Nothing extra is needed.

Acting for them

You have the authority to act for them. You act for them

A healthcare power of attorney, guardianship, or their request. We ask your relationship and what authorizes you, and you sign in your own name.

What you can do
  • Take the eligibility check for them.
  • Complete the paperwork and add a photo of their ID.
  • Receive every email, including the completed form.
What they need to do
  • Be in their state during the evaluation.
  • Join the call, if you choose a video visit.
  • Nothing else. The form is in their name.
Check if they qualifyRead the full guide for helpers ›

What You Get

The doctor’s evaluation, and if you are certified, the completed form your county needs.

Form HSMV 83039
  • Your state’s permit form, completed and signed by a doctor licensed in your state.
  • Delivered by email as a PDF, and kept on a secure page you can open any time.
  • Ready to hand in. Take it with your ID to the office that issues placards in your state.
  1. The doctor completes your formIt arrives by email.
  2. Take it to the permit officeBring your ID.
  3. A disabled parking placard hanging from a car’s mirror
    You leave with your placardPark close, wherever you go.
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Conditions That Commonly Qualify

Each state sets its own criteria. These are the most common.

Arthritis or Joint Pain

Back, hip, knee, spine, or a joint replacement.

What qualifies ›

Heart, Lung or Neurological

Including oxygen use, Parkinson’s, stroke, legal blindness.

What qualifies ›

Recent Surgery

A temporary permit while you recover.

What qualifies ›

Pregnancy

Some states issue a separate permit.

What qualifies ›
Check if you qualify

Our Doctors

Every evaluation is done by a doctor licensed in your state. Their license numbers are public, and you can look them up any time.

Meet the doctors ›

What Patients Say

5.0 ★★★★★Average of 14 patient ratings
Read all 12 reviews ›

This process was seamless and well worth it. The doctor reviewed all my medical history and they even requested additional health clarification before issuing the certificate.

Army veteran, September 2026

Working with the team at Provider Notes has been an outstanding experience from start to finish. Every interaction is defined by a genuine warmth and welcoming attitude that immediately puts you at ease.

Alexander, Aventura, September 2026

Sandy, Fort Lauderdale, August 2026

Common Questions

Plain answers to the questions people ask most.

Do I need my own medical records?
No. Records help if you have them, but the doctor evaluates your answers either way.
When am I charged?
Not until your evaluation begins. For a case evaluation, that is when the doctor begins reviewing your answers. For a video visit, it is one hour before the visit. Until then, nothing is charged.
Do I have to choose between a case evaluation and a video visit?
Only at the end, with one tap. A case evaluation is reviewed in writing, usually within two business days. A video visit is 5 to 10 minutes at a time you pick. The doctor, the standard and the fee are the same.
How long does a placard last?
It depends on your state. Permanent placards usually last several years, and temporary ones up to six months. Your state’s page has the details.
What if I am not certified?
You receive a written explanation. The fee covers the evaluation itself and is not refunded.
Which states do you serve?
Each state issues its own permit on its own form, and the doctor must be licensed in that state, so we open one state at a time. Choose your state above to see what is available.

See If You Qualify

Answer a few questions. You will know before you pay anything.

Check if you qualify

Questions? Call (754) 233-0586, Monday to Friday, 9am to 6pm Eastern.

Check if you qualify