Special Medical Needs Registry

It is estimated that 1.5 million North Carolina residents have some type of disability. Because of this, North Carolina Emergency Management has developed a voluntary special needs registry for use by counties and municipalities. If you have a disability or special medical need, you are welcome to download the Special Medical Needs Registry Application, fill it out, and mail it in to your Randolph County Special Needs Registry Project Manager to be included in the registry. By participating, we believe that you can improve your safety by assisting government officials in special needs planning. Please completely and accurately fill out the entire form. If any information has been omitted, your information may not be successfully placed in the registry.

Please note that participation in this registry is strictly voluntary and records are kept confidential.

Please mail completed forms to:
Randolph County Emergency Services
ATTN: Special Needs Registry
152 N. Fayetteville St.
Asheboro, NC 27203