Functional Needs Assessment

Access and Functional Needs Assessment

Our Functional Needs Assessment helps Baca POA EMS better prepare for emergencies and major disruptions like severe weather, extended power outages, and other unexpected events. By completing this form, you are letting us know if anyone in your household may have specific needs during a large-scale emergency.

All information collected is used solely for Baca Grande emergency response and preparedness.
Your details remain confidential and are only shared with authorized responders when necessary to protect life and safety.