Emergency Contacts

To complete and submit the Emergency Contact information and provide the First Aid/CPR Authorization for your loved one, please do the following.

  • Step 1. Click on the following link and when the link opens, enter your full name and email address, then click "Start Signing."

       When the page opens, click next to the phrase "I agree to the terms and conditions" at the top of the page.

  • Step 2. Click on the red "Start signing button" toward the top right of the page 

  • Step 3. Complete the form.  Be sure to type in your name at the end of the form when the signature box opens and click the red "Finish" at the top of the page.  Note:  if required fields are not completed, you will not have the ability to click "Finish".

EXCEPTIONAL CARE FOR EXCEPTIONAL INDIVIDUALS

Call us:

240-324-6430

Contact Us: 

16701 Melford Boulevard

Suite 400

Bowie, Maryland 20715

info@ucsupportsmd.org

© 2017 by United Community Supports