Access and Functional Needs Registry - Facility

Facility Information
24-Hour Facility Contact Information (2 names required)
Contact 1
Please contact the individual you are identifying as an alternate.
Contact 2
Please contact the individual you are identifying as an alternate.
Contact 3
Please contact the individual you are identifying as an alternate.
General Information
Submitter Acknowledgement
Signing up for this registry does not guarantee priority response or services of any kind. The signer also acknowledges that there is no substitute for personal emergency preparedness. In a disaster, government and other agencies will be very busy, and may not be able to meet your needs immediately. It is important for all residents to make individual plans and preparations for their care and safety in an emergency.
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