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The County of DuPage
Wheaton, Illinois

Homeland Security and Emergency Management (OHSEM)

 

Operation Helping Hand - Special Needs Registration

Operation Helping Hand is a cooperative public safety program in DuPage County. It is designed to ensure the safety of those residents of DuPage County that are most vulnerable to emergencies and disasters, the elderly and infirmed and those with various disabilities. The information you provide about your health and medical condition may be shared with police, fire and other emergency workers to assist them in responding to a disaster or emergency. You may revoke your consent to sharing information at any time by sending a written request to DuPage County Office of Homeland Security and Emergency Management, 418 N. County Farm Road, Wheaton, IL 60187. Providing this information does not ensure that you will receive special treatment, but your needs will be given consideration. By submitting this information, you consent to sharing the information on this form.

If you would rather print out and mail in the registration form, download the printable registration form.

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Registration Information for Special Needs Program
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IL  
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Next of Kin or Person Responsible for Healthcare
 
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Special Needs- Circumstances
















 
Special Needs- Equipment









 
 
Other Information
 
 
 
 
You will be assigned a Registration number. Please record this number and the password you enter below so in the future you can update your profile when needed.
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