Vulnerable Population Registry

(Last. First, Middle)
(mm/dd/yyyy)
xxx-xxx-xxxx
xxx-xxx-xxxx
(Insulin with Needles, Requires daily meds, Oxygen)
(In Pounds)
(Verbal, Non-Verbal, Hearing Difficulties, Picture/Assisted Communication Devices, Sign Language)
(Places they like to go, Things they are drawn to, Where they have gone in the past)
(Toy Gun, BB Gun, etc.)
(Walking, Bicycle, ATV, Snowmobile, Automobile, etc.)
(Last, First)
xxx-xxx-xxxx
xxx-xxx-xxxx
(An acknowledgement of this information will be sent to this email address)
(Last, First)
xxx-xxx-xxxx
xxx-xxx-xxxx
(Last, First)
xxx-xxx-xxxx
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Attachments are for identifiers E.G. Picture of individual, Vehicle, Tattoos, etc.

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General Information
Phone Numbers
(208) 382-5160
Emergencies: Dial 911
Non-Emergency

Crisis Line

Civil Process

Drivers License