Special Needs Locator Program

The Swansea Police Department has implemented a Special Needs Locator Program for its citizens utilized for a variety of cognitive disorders. The purpose of the program is to assist in locating an individual with a cognitive disorder who has become lost, disoriented or is unable to communicate effectively. 
 
 The program is voluntary for individuals living with, but not limited to: 
 

  • Alzheimer’s Disease
  • Dementia
  • Autism Spectrum Disorder
  • Parkinson's Disease 
  • Huntington Disease
  • Cerebral Palsy

Family members can register their loved ones at the Swansea Police Department. The information is confidential and only accessible by the Swansea Police Department. The database will contain pedigree information, along with a current photograph. This photograph will be accessible to all patrol officers who encounter a lost or disoriented person.
 
 To register your loved one with the Swansea Police Department's Special Needs Locator Program, please complete the below form. We know it is lengthy but this information will help us safely locate and interact with your loved one. If there is any questions or issues with the form, please call us as (618) 233-8114. A form can also be directly sent to you at your request.

Special Needs Program

  1. Special Needs Person Name/Address
  2. Medical diagnosis

  3. Form Submitter Name/Address
  4. General Information
  5. Be as specific as possible, hair/eye color, race, weight. etc.

  6. List any family members person lives with or is close to.

  7. Please enter phone numbers and emails for anyone that should be contacted regarding this person

  8. Is this person tracked by any device/tech*

    EX: LIfe360, IPhone location, etc.

  9. Is this person verbal?*

    If this person speaks other languages other than English, please include in notes section at end of form.

  10. Does this person react to their name being called?*
  11. Any medication?*

    If the answer is yes and feel comfortable sharing, please add what medication at end of form.

  12. Has this person wandered off alone before?*
  13. Does this person live with any other special needs persons?*
  14. Is this person familiar with the surrounding area around their home/school?*
  15. Is this person cautious/familiar with car traffic?*
  16. Is this person familiar with first responders?*

    EX: Police, Fire Department, EMS

  17. Can this person become upset easily?*
  18. Is this person fascinated by water?*
  19. Can this person swim?*
  20. Is this person sensitive to light?*

    EX: bright lights, flashing lights, etc.

  21. Is this person sensitive to sound?*
  22. EX: likes fire trucks, playgrounds, schools, etc.

  23. Can this person be aggressive to themselves or others? 

  24. This person good with eye contact?*
  25. Does this person know their parents' information?*

    EX: where they live, names, phone numbers, etc.

  26. We prefer .png format.

  27. Leave This Blank:

  28. This field is not part of the form submission.