Special Needs Registry Form

The information you submit will remain confidential and will be visible to the dispatcher when a call is received from the telephone number provided below,  absent technical difficulties , helping them to respond to an emergency. This registry is for informational purposes only. Entering data in this registry does not guarantee that a specific emergency situation will be handled in any particular order or manner.

If you have a current emergency, please call 9-1-1 immediately. Providing information on this registry is for future informational purposes and is not a substitute for reporting an emergency.