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Neurodivergent Program

This initiative offers members of the community to voluntarily and confidentially identify individuals who are neurodivergent or have other disabilities who live, work or attend school in our communities. The purpose of this is to promote communication and ensure that consistently high levels of public safety services are available to those who may require special considerations.

This will give Georgetown Police access to critical information about those who are neurodivergent individuals during an emergency.

To register for the program please fill out the form below:

Individual's Name(Required)
MM slash DD slash YYYY
Address(Required)
Scars, tattoos, etc.
Max. file size: 50 MB.
Medical Information(Required)
Will Emergency or Flashing Lights Trigger Behavior
Will Sirens or Loud Noise Trigger Behavior

Behavioral Traits

Verbal?
Do they use an alternative form of communication?
Delayed Speech?
Do they respond to verbal commands?
Repetitive behavior?
Responds to Name?
sensitive to touch, noises, lights, etc.
This should include prefered words, sounds or songs or favorite color, favorite places or hiding spots, do they like water. Please be as specific as possible.
Do they have certain fears, such as dogs or moving cars etc. Please specify.
Does the Individual Wear or Carry Identification Cards?
such as a medical bracelet, jewlery, etc.

Safe Person/Emergency Contact

Name
Address