Emergency Needs Registry

The Village of Oak Park has a registry for persons with disabilities or special needs that may assist police, fire and other personnel in the event of an emergency.

This form authorizes the Village of Oak Park to transmit important medical information to first responders in the event of an emergency. The information provided will be kept on file to help prepare police and fire personnel for the the respondent's medical conditions. Note: Please review this disclaimer.(PDF, 32KB) You will be asked for affirm that you have read and agree with it before submitting the form.

Email prepare@oak-park.us with any questions about how this information will be used.