Columbia County Special Needs Registry Electronic Version

Columbia County has created a Special Needs Registry for County Residents. This registry is for those individuals with medical conditions who require assistance, have medical devices that utilize electricity, are non-ambulatory, or have restricted mobility.  All information collected will be used strictly for emergency management purposes ONLY so that emergency personnel can check in on you in the event of a power outage with loss of phone service. During such an event every effort will be made to assist you. However, depending on the size and scope of the emergency, the resources available may be limited and therefore a guaranteed response cannot be made.

If you have any questions, contact the Columbia County Department of Health at 518-697-0190.

Thank you,  

Columbia County Department of Health
Sign in to Google to save your progress. Learn more
Untitled Title
Untitled Title
Clear form
Never submit passwords through Google Forms.
This form was created inside of Columbia County, NY. Report Abuse