If you or anyone in your household has a Special Need that would need to be taken into consideration in the event of a disaster, we would like to know. Fill out the form for special needs on the documents page and drop it in the mail. The form can be filled out in two ways. Either:

• be filled out online, printed, signed, and mailed in to us, or
• printed out, filled out by hand, signed, and mailed to us.

The mailing address is printed on the form. This program is completely voluntary. The information we store will only be used to identify those will special needs in the event of a major disaster and/or evacuation. The Alpine County Public Health Department will not sell this information to any third party. It will be used for emergency purposes and preparedness only.

What do we mean when we say "people with a special need"? There are many kinds. For example:

• Physical Disability
• Mental Disability
• Blind or Visually Impaired
• Deaf or Hearing Impaired
• Frail, Elderly Seniors
• Heart Condition
• Lung Condition or Asthmatic
• Need of Life Sustaining Medications (Diabetic, Seizure, Allergy Medications)
• Oxygen Dependent