Handle With Care Registry

Handle With Care Registry

The Erie County Sheriff’s Office, in coordination with NAMI-NYS is pleased to introduce a Handle with Care Registry. The intent of the registry is to better prepare our deputies and emergency responders to provide improved care for your loved one. Caregivers are welcome to use the registry for special needs (i.e.: Autism, Down Syndrome, Alzheimer’s, Dementia, Substance Abuse). One of NAMI-NYS’s leading priorities in mental health crisis is to ensure an appropriate mental health response. We enthusiastically support the Handle with Care Registry which is designed to help keep you and your loved ones safe.

Personal / Family Representative

Full Name

First Name

Last Name

Phone Number

Relationship to Person in Need

Do you reside in the same household?

Handle With Care Person

Full Name

First Name

Last Name

Address

Street Address

Apartment / Suite Number

City

State / Province

ZIP Code

Date of Birth

Race(s)

Gender

Height

Weight

Information

School / Work

If vulnerable person operates a vehicle

(Make, Model, License Plate)

Triggers

Things to avoid

Calming Methods

Things that bring the individual joy

Photo

One file only.
2 MB limit.
Allowed types: gif, jpg, jpeg, png.

Brief description of special needs

i.e., dementia, substance abuse, etc.

Treating physician (if known)

Physician Phone Number

Anything else we should know?

Emergency Contacts

Contact #1

Phone Number

Contact #2

Phone Number