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Functional Needs Registry

Functional Needs Registry

The Functional Needs Registry allows residents and caregivers to provide information related to functional needs to assist first responders with important information. Conditions represented include but are not limited to autism, down syndrome, dementia/Alzheimer's disease, developmental delay, mobility impairment, vision and hearing impairments, multiple sclerosis (MS), paraplegia, quadriplegia, cerebral palsy, and residents that are dependent on medical devices such as left ventricular assist device (LVAD).

Inscripción:

Residents with functional needs, or their caregivers, voluntarily register by submitting their information through the Orange County Fire Rescue Functional Needs Registry form. The registration collects key details such as medical conditions, mobility or communication needs, assistive devices, and emergency contact information.

Registry entries are valid for one year and automatically expire unless renewed; it is the responsibility of the resident or caregiver to review and renew the information annually to ensure accuracy. If a resident wishes to withdraw from the program at any time, or needs to update information such as a change of address within the year, they may do so by emailing functionalneedsregistry@ocfl.net.

  1. Descargue y complete el formulario de solicitud:
    Functional Needs Registry Form (PDF)

  2. Cargue el formulario completado en:
    https://ocfl.app.box.com/f/e27714dc51b7421aa52ed71a2f72e552