Best Answer: As far as I know, the DHS does not issue such a thing. They rely on certifications by doctors and the DMV. If you don't have a
government-issued certificate, have your doctor write you a note explaining why you need to admitted without delay. It sounds like you are planning on
crossing as a pedestrian, since there are no handicapped car lanes. (There is a "medical pass" or "fast pass" lane for cars, however, which anyone can
use so long as they get their pass from their doctor or dentist -- or upscale restaurant or hotel! It's not a handicapped pass, it's meant to
facilitate high-ticket tourism.) The guards at the pedestrian border tell stories about able-bodied young men who borrow wheelchairs in order to jump
the line, which means they're suspicious of folks who are acting handicapped. But eighty-year-olds with walkers are let through routinely. As are
able-bodied people who just had eye surgery so long as they also have a note from their doctor mentioning that standing in the sun is not good for
their patient. So equip yourself with a doctor's note or your DMV certification. If the pedestrian line is long, you will first encounter guards at
the outer barrier just in front of the old Customs building. The regular line passes through the turnstile on the left while special cases
(wheelchairs, I-94 visas, etc.) pass through the gate on the right. Present yourself to the guard at the gate on the right and convince her or him
that you deserve to be admitted. Then proceed to enter the building by the revolving door on the left-hand side. It's marked "SENTRI". You will need
to present your medical certificate to any guard in that lane and to the CBP officer in the booth at its end. P.S. Yesterday I asked one of guards at
San Ysidro. She said it's just like that. Permanent disability is established by the DMV in San Diego or by the DIF in Tijuana and temporary
disability is a note on doctor's letterhead explaining why and for how long. "A prescription isn't enough," she said.
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