New Hanover County Special Needs Registration Form 2025

1. Click ‘Get Form’ to open the New Hanover County Special Needs Registration Form in the editor.
2. Begin by filling out your personal information, including your last name, first name, middle initial, date of birth, and sex. Ensure that you provide a complete address including city, state, and zip code.
3. Next, indicate your living situation by selecting the appropriate residence type and providing contact numbers. Be sure to include an email address for further communication.
4. In the emergency contacts section, list both primary and secondary contacts along with their relationship to you. Include their phone numbers and addresses for quick access during emergencies.
5. Fill out the medical information section carefully. Indicate any medical conditions or equipment required, as well as medications you are currently taking.
6. Complete the disaster plan section by detailing your arrangements for care during emergencies. This includes caregiver details and transportation plans.
7. Finally, review all entered information for accuracy before signing and dating the form at the bottom.

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