Special Needs

Authorization Information

By submitting this form I agree or my legal guardian requests that my personal and medical information be added to the Catawba County Special Needs Registry. In the event of an emergency or disaster I hereby authorize the exchange of information between Catawba County, and the local fire department, rescue squad, or law enforcement agency and the individuals and agencies listed on this form. I grant emergency responders permission to enter my home following an emergency event or disaster situation, if necessary, to assure my safety and welfare and for the purposes of evaluating my needs.