Disability Response Registry

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Madison Fire & Rescue invites residents with disabilities to participate in providing valuable information regarding their living accommodations. The information collected is strictly confidential and will be used only to assist firefighters on dispatch in the event of an emergency situation at your home. Please note, it is the responsibility of the applicant to provide updated information, as necessary, to Madison Fire & Rescue, 101 Mill Rd. Madison, Alabama 35758.


Patient Information

Details of Residence


Caretaker Contact Information
 
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