If you need assistance with the form, obtaining a picture, or if you have questions, please contact the ADRC at (920) 849-1451. Contact person for individuals on the registry will be contacted annually to confirm information remains accurate and up to date.
The information given on this form is confidential. This information will be maintained by the Calumet County Aging and Disability Resource Center and Calumet County Sheriff’s Office. It will be shared with law enforcement, ADRC and the Department of Health and Human Services.