Rhode Island Special Needs Emergency Registry Intake Form

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Author: Rhode Island Department of Health

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This is the intake tool that the Rhode Island Department of Health and the Rhode Island Emergency Management Agency use to register people with disabilities, chronic conditions, and special healthcare needs in advance of a disaster or other public health emergency. Accessibility: This PDF may not be fully accessible using a screen reader or Read Out Loud. Navigation may be confusing and some text may not be readable.

Program: Public Health Preparedness

Submitted Date: Aug 19, 2013 | Modified Date: Mar 11, 2025

Primary Toolkit: Preparedness Toolkit | Secondary Toolkit: N/A

Jurisdiction: notApplicable

Institution Type: State,

Keywords: Health & Disability, Vulnerable Populations, Hazards and Health Effects, Injury & Violence Prevention

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