Handle with Care Registry

The Stroud Area Regional Police Department is excited to launch a new feature on our website called "Handle with Care". Law Enforcement and first responders frequently have contact with residents who have communication, cognitive and physical needs that make providing a service to them more difficult. Emergencies often create high anxiety, excitement, and physical demands which exacerbates these conditions. To proactively address these needs, the SARPD has embarked on an initiative to better assist our residents with special needs. The Handle With Care Registry allows community members to submit information which can be used to assist law enforcement in identifying or engaging with someone who has special needs/ mental health issues.

The goal of the Handle with Care Registry is to identify people who for example may:

Alzheimer/ Dementia
Autism Spectrum/ Asperger Syndrome
Have speech, developmental or mental health disabilities.
Be blind, deaf, hard of hearing or trouble seeing.
Use life support systems (oxygen, ventilator, respirator, etc) a pacemaker or are insulin dependent.
Use service animals

Knowing an individual's special needs (including triggers, stimulants and de-escalation techniques) greatly assists our officers in safely handling an encounter if a loved one becomes lost or otherwise comes in contact with us.

Residents are invited to proactively provide information about any loved one with special needs, regardless of age, who may require special assistance in an emergency or interactions with SARPD. None of the fields on the form are mandatory and the information you choose to disclose is completely voluntary. A photo of your loved one may also be uploaded.

The information collected for this registry will NOT be available to the public. It is strictly going to be used by public safety entities to get the individual the assistance they may need in an emergency and also providing us with an emergency contact.

Please complete this form to register a person with the Stroud Area Regional 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

Get Address from Map Marker

Organization / Building / etc

Street Address *

Apartment / Suite Number

City *

State *

Zip Code *

Map Marker

Use Location Address Use My Current Location

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

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.

Leave this field blank