Larry L Ringering
101 E. Edwardsville Rd. Wood River Il. 62095
The Special Needs Registry is a cooperative public safety program in Madison County. It is designed to ensure the safety of those residents of Madison County that are most vulnerable to emergencies and disasters, the elderly and infirmed and those with various disabilities. The information you provide about your health and medical condition may be shared with police, fire and other emergency workers to assist them in responding to a disaster or emergency. You may revoke your consent to sharing information at any time by sending a written request to the Madison County Emergency Management Agency, 101 East Edwardsville Road, Suite 260, Wood River, Illinois 62095. Providing this information does not insure that you will receive special treatment, but your needs will be given consideration. By submitting this information, you consent to sharing the information on this form.