Handle with Care Registry

The intent of this registry would be to better prepare our police officers and other emergency responders to care for your loved ones with first-hand information that is provided by the family and is specifically related to the individual’s special needs. Some examples of a special needs circumstance could include, but are not limited to, Autism/Autism Spectrum Disorder, Down Syndrome, Alzheimer's, and Dementia. We are confident that this information will allow all emergency responders to be more attentive to those specific needs, respond accordingly and be safe.

Please complete this form to register a special needs person with the Newtown Township Police Department.

Your Contact Information

First Name *

Last Name *

E-mail Address *

Phone Number *

Handle with Care Person

First Name *

Last Name *

Date of Birth *

Month

Day

Year

Race(s) *

Gender *

Height *

Weight *

Location

Address: Get Address from Map Marker

Map MarkerUse Location Address | Use My Current Location

Hint, click the map to add or drag a GPS Marker. Zoom in for a better view.

Organization / Building / etc

Street Address *

Apartment / Suite Number

City *

State *

Zip Code *

Information

Include school/work info, car info, triggers, calming methods, service animal, etc.

Additional Notes / Condition / Consideration *

Photo

Attach a photo (jpg, jpeg, png) of the person.

Emergency Contacts

Include as much contact information as possible, e.g. name, address, phone, etc.

Emergency Contact #1 *

Additional Emergency Contacts

Agree *

I understand that submitting a false report is punishable by law.

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Handle with Care Registry