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Please enter specifics such as any sensitivities, medications, places they frequent, topics to easily discuss to put individual at ease.
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{[PNAME]}
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{[ADDR]}
{[CITY]}, {[STATE]} {[ZIP]}
{[APHONE]}
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The Eastampton Police Department is seeking voluntary emergency contact information for any person (of any age) that are affected by any form of altered mental status including Autism, Dementia, Bi-Polar Disorder, Schizophrenia, or other illness, condition, or “Special Need” that may cause them to become impaired.

Police Officers receive specific training to follow protocols when they contact persons with “Special Needs”. It would greatly help if The Eastampton Police Department was able to understand who the person is prior to making contact. This prior knowledge will aid in better communication which will lead to a safer resolution for all involved parties.

"Please be advised that New Jersey's Open Public Records Act defines information sent to a public agency as a public record and makes public records subject to public disclosure.  New Jersey does exempt from disclosure any "information relating to medical, psychiatric or psychological history, diagnosis, treatment or evaluation."  So it is the Township's opinion that any information submitted here will be exempt from public disclosure, and the Township will not release this information, however please be advised that the Government Records Council and the Superior Court are the only parties with final authority to determine whether a public record must be released."

The Eastampton Police Department can enter specifics such as:

  • Noise, Sound, Touch sensitivities
  • Medication they may be taking
  • Places they frequent
  • Topics to easily discuss to put the individual at ease

Furthermore, after the individual’s needs are registered (see form below), they will be provided with an Identification Card, which if kept on their person, can assist an Officer in identifying the individual or contacting a family member/guardian.

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