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  • Nc Special Needs Registry - New Hanover County 2019

Get Nc Special Needs Registry - New Hanover County 2019-2026

V.com The Special Needs Registry is a resource to assist residents who have physical, medical or functional disabilities that would place them at higher risk during an emergency event. It is NOT intended for residents who live in long-term care facilities, residential treatment facilities, or those in the care of a home health agency. These providers are required by law to take care of their clients in the event of an emergency. Individuals on the registry will be contacted by a trained volunte.

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How to fill out the NC Special Needs Registry - New Hanover County online

The NC Special Needs Registry is a vital resource for individuals with physical, medical, or functional disabilities living in New Hanover County. This guide will provide clear, step-by-step instructions to help users complete the registration form online effectively.

Follow the steps to complete your registration form.

  1. Press the ‘Get Form’ button to access the registration form and open it in your browser.
  2. Begin by filling out the personal information section. Enter your last name, first name, date of birth, middle initial, and select your sex option. Provide your complete address, including city, suite/apartment number, and zip code. Ensure to include your primary contact number and an email address.
  3. Indicate your living arrangements by selecting one option from the choices provided, such as ‘Alone’ or ‘With Spouse.’ Specify your residence type and any additional relevant information regarding your living situation.
  4. In the emergency contact information section, enter the details for your primary contact, which includes their name, relationship to you, and multiple contact numbers. Repeat this for a secondary contact.
  5. Provide any necessary medical information relevant to your care. Indicate whether 24-hour care is required and provide details on any medical equipment or medications needed.
  6. Fill in the personal disaster plan section, detailing any caregiving or evacuation arrangements. Include contact information for those involved.
  7. Complete the section concerning your pets if applicable, indicating if you have pets or service animals and detailing their information.
  8. Review and agree to the terms of use at the end of the form. Ensure you confirm your information is accurate and provide your signature and date.
  9. Once all sections are filled in, save your changes. You may download, print, or share the completed form as needed.

Take the next step in ensuring your safety by completing the NC Special Needs Registry form online today.

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