Emergency Contact Information For Elderly

Print
Press Enter to show all options, press Tab go to next option
Please correct the field(s) marked in red below:

Are you a caregiver for an elderly relative who lives or spends a significant amount of time alone in Cedar Park? While it can be unpleasant to think about something bad happening to a family member, medical emergencies do happen. If you're not at home when your elderly relative falls or becomes ill, is there a way for first responders to safely make entry to your home to provide care? In the event of an emergency involving an elderly relative at your home, we can provide emergency contact and access information to first responders. Please fill in the following form and submit it. We will keep your information secure and it will not be shared with any outside entity. It will only be used to gain access to your elderly relative and to contact you in the event of an emergency at your home. If you have any questions, please contact Devin Denson at 512-260-4858 or by email at devin.denson@cedarparktexas.gov.
1
Emergency Contact Information:
Emergency Contact Information:
  1. To receive a copy of your submission, please fill out your email address below and submit.