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CALHOUN COUNTY 9-1-1 VOLUNTARY REGISTRY


The Calhoun County 9-1-1 emergency system and the Calhoun County Emergency Management Agency (CCEMA) welcomes you to the Emergency Preparedness Voluntary Registry for citizens who have special needs

This program is voluntary and in no way ensures that the individual registering for this program will receive immediate or preferential treatment in an emergency. This program merely provides the emergency response community with information that is pertinent to developing an effective response. On a daily basis, 9-1-1 personnel and first responders will have access to this information and will use it to better serve you should you need to dial 9-1-1. This includes fire, police, and EMS personnel.

If you do not want to disclose your protected health information, please STOP now, and do not complete this form.

Instructions:


1. Complete this form for each household member with functional needs who may require help in an emergency.

2. If you have any questions regarding this form, please call (256) 435-0540 for assistance.



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