Alzheimer’s Notification Form

If you have a loved one with Alzheimer’s or Dementia and fear they may become disoriented, fill out our Alzheimer’s notification form. This information will help the Police Department in finding and identifying your loved one in the event of an emergency.

If you have any questions, please contact the Crime Prevention Unit at (513)-752-4100.
Alzheimer Notification Form

Individuals with Alzheimer's Disease or Related Memory Disorder 

Characteristics / Distinguished Features

Caregiver / Contact Information

Caregiver / Contact Information

Caregiver / Contact Information