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NORTHBOROUGH POLICE DEPARTMENT DEMENTIA/COGNITIVE ISSUES ALERT This is a cooperative effort of the North borough Police Department and the North borough Council on Aging to assist caregivers of individuals

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How to fill out dementiacognitive issues alert

01

To fill out a dementiacognitive issues alert, follow these steps: 1. Begin by providing your personal information such as your name, age, and contact details. 2. Specify any existing medical conditions or allergies that you may have. 3. Mention any previous diagnosis or family history of dementia or cognitive issues. 4. Provide a detailed description of any cognitive difficulties you may be facing, such as memory loss or confusion. 5. Include information about any medications you are currently taking or any treatments you have received for dementia or cognitive issues. 6. If applicable, mention any assistive devices or strategies you use to manage your cognitive difficulties. 7. Finally, sign and date the alert form to authenticate your submission.

Who needs dementiacognitive issues alert?

01

Anyone who has been diagnosed with dementia or cognitive issues, or suspects they may be experiencing such difficulties, should fill out a dementia cognitive issues alert. This alert helps medical professionals, caregivers, and emergency responders understand your specific needs and provide appropriate care or assistance in case of an emergency.

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