Autism/Intellectual and Developmental Disabilities/Alzheimer’s

Wandering 911 ScriptCreating a Wandering 911 Script allows you to be prepared in the eventthat your loved one wanders and emergency responders are needed toassist in locating your loved one. The below information should becompleted before a wandering incident occurs.

Remember to call 911 immediately if your loved one wanders.

MY LOVED ONE’S INFORMATION

Name: ____________________________________________ Age: _______

Height: ___________________ Weight: ___________________________

Hair: _____________________ Allergies: __________________________

Eyes: _____________________ Diagnosis: _________________________

Places of employment (current and past): _________________________________________________________

____________________________________________________________________________________________

Places of worship (current and past): _____________________________________________________________

____________________________________________________________________________________________

Past residences (addresses): ____________________________________________________________________

Schools attended (current and past): _____________________________________________________________

My loved one may do the following should he/she wander: _________________________________________

____________________________________________________________________________________________

My loved one may go to the following destination(s) should he/she wander: ___________________________

____________________________________________________________________________________________

____________________________________________________________________________________________

____________________________________________________________________________________________

____________________________________________________________________________________________

INSERT PICTURE HERE IFYOU FEEL COMFORTABLE

SHARING ONE.

Page 1 of 2

An awesome person who has Autism/IDmight be a passenger in this car. In theevent of an emergency check the glove

box for more information. Forinformation on how the Montgomery

County Police supports Autism/IDawareness please visit the following

montgomerycountymd.gov/Lifesaver

MCPD SUPPORTS

AUTISM / ID AWARENESS

Montgomery County Police Department (official)

For more information, please visit the Autism/IDD/and Alzheimer’s Outreach Program atwww.montgomerycountymd.gov/AIDD

CALL 911 IMMEDIATELY IN THE EVENT OF WANDERING!

DON’T WAIT TO CALL 911 . . . We are your best tool in locating your loved one quickly!

It will help responding officers if you are familiar withyour loved one’s potential points of interest and locations of bodies of water in the area (especiallyfor those with autism who are often attracted to water).

Please print out a map of the area around yourhome and label these important locations.A = Our House (12345 Street).

Any additional information about my loved one that may be helpful for first responders to know (he/she may bolt and run; he/she may not respond to his/her name; he/she may hide, etc.)

_________________________________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

(they may bolt and run, they may not respond to their name, they may hide, etc) It is beneficial to responding officers that you are familiar

with potential points of interest for your child as well as the

locations of bodies of water. Please print out and include with

your 911 script a Google map of the area around your home

and pin point any potential dangers or possible destinations

your child may be drawn towards in the event of an elopement.

(Example)

Nearby Bodies of Water A = Our House (12345 -----

Street)

A

Page 2 of 2

An awesome person who has Autism/IDmight be a passenger in this car. In theevent of an emergency check the glove

box for more information. Forinformation on how the Montgomery

County Police supports Autism/IDawareness please visit the following

montgomerycountymd.gov/Lifesaver

MCPD SUPPORTS

AUTISM / ID AWARENESS

Montgomery County Police Department (official)

For more information, please visit The Autism/IDD/and Alzheimer’s Outreach Program atwww.montgomerycountymd.gov/AIDD