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Address: 200 Sixth Street Point Pleasant, WV 25550

304-675-1110

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- Commission Meetings
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Our Town
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Government
Maps
- Election Maps
Local Links
- Point Pleasant Housing Authority
- WVOW Restoration Advisory Board
Election
- Absentee Ballot Application
- Ballots
Departments
Calendar
Finance
Meetings
- Commission Meetings
  - Agenda
  - Minutes
Our Town
Special Alerts

Government
Maps
- Election Maps
Local Links
- Point Pleasant Housing Authority
- WVOW Restoration Advisory Board
Election
- Absentee Ballot Application
- Ballots
Departments
Calendar
Finance
Meetings
- Commission Meetings
  - Agenda
  - Minutes
Our Town
Special Alerts

Government
Maps
- Election Maps
Local Links
- Point Pleasant Housing Authority
- WVOW Restoration Advisory Board
Election
- Absentee Ballot Application
- Ballots
Departments
Calendar
Finance
Meetings
- Commission Meetings
  - Agenda
  - Minutes
Our Town
Special Alerts

Special Needs Safety Alert

Name(Required)

First

Date Of Birth(Required)

MM slash DD slash YYYY

Sex(Required)

Eye Color(Required)

Hair Color(Required)

Scars/ Identifying Marks

Address(Required)

Street Address City State / Province / Region ZIP / Postal Code

Type Of Condition

Check all that apply.

Alzheimer's

Dementia

Autism

Other

Other Type Of Condition(Required)

Communication

Check all that apply.

Verbal

Non-Verbal

ASL

Can Write

Will repeat Questions

Can answer yes/no questions

Can read

Sensitive To

Check all that apply.

Noise

Light

Touch

Crowds

Other

Other Sensitive To(Required)

Avoidance/ Dislikes

Check all that apply.

Eye Contact

Being Wet

Being Dirty

Strangers

Men

Women

Other

Other Avoidance/ Dislikes(Required)

Calming Methods

Check all that apply.

Calm/ Quiet Voice

Noise Canceling Headphones

Time Alone

Food/ Candy

Soft Items

Other

Other Calming Methods(Required)

Atypical Behaviors

Check all that apply.

Speaks Loudly

Self-Injury

Will Run if Chased

Vocal Stimming

High Pitched Noise

Little/ No Sense Danger

Sensory Seeking

Other

Other Atypical Behaviors(Required)

Medical

Check all that apply.

Hearing Impaired

Vision Impaired

Seizures

Tics

High Pain Tolerance

Other

Other Medical(Required)

Additional Notes/ Special Instructions:

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