S.A.F.E. Program Registration

Senior Awareness for Everyone

The Town of Mount Pleasant initiated a program to assist seniors living in the town who may not have family or friends checking in on them on a regular basis. This program is known as S.A.F.E. – Senior Awareness for Everyone. To qualify you must be one of the following:

*55 years old & retired

*60 years old

*A disabled citizen

This program allows the police/fire departments to document names of senior citizens, where they reside, important emergency contact information, and medical information. Police personnel may be assigned to check on senior citizens to see if they require any special assistance.

Emergency contact information is vital in the event a senior citizen becomes ill and must be transported to the hospital. The designated contact person can be notified so that important medical information can be retrieved.

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* 1. Name

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* 2. Address

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* 3. Phone number

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* 4. Date of birth

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* 5. Emergency contact name

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* 6. Emergency contact phone number

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* 7. Emergency contact's relationship to you?

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* 8. Do you have a spare key or lockbox accessible to emergency services? If so, where and what is the combination?

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* 9. Optional Information (Allergies, Medical Conditions, Medications)