SNAP - SPECIAL NEEDS ALERT PROGRAM
Special Needs Alert Program (SNAP) Coordinator
Office of EMS
Blue Hen Corporate Center
655 Bay Road, Suite 4H
Dover, DE  19901
Voice (302) 744-5400
Fax (302) 744-5429
SNAP materials in English and Spanish:  http://www.familyvoices.org/st/DE.htm

Identify your child as a SNAP child when placing a 911 call.
 
Dear Parent or Guardian, 
To enroll your child in the Special Needs Alert Program (SNAP), please complete the following forms.
 
	o	The Enrollment Form 
	o	The Home Visit Information (or Home Information) Form (This should contain 
		your child’s diagnosis and allergies.  If your child does not speak, please 
		let us know how he or she communicates.)  
	o	The Emergency Information Form (This must be completed and signed by your 
		child’s physician.) 
	o	The Consent Form 

You will receive a call from our office when your paperwork arrives. 
Thank you for enrolling your child in SNAP. 

Sincerely,  
SNAP Coordinator 

Where to Keep Your SNAP Information 

Home:  
Please keep a copy on your refrigerator. Emergency personnel will often look here for  
special health information  

Daycare, After School Care, or a Day Program:  
Please send a copy of the Emergency Information Form, and your contact information to  
the individual who provides medical care to your child.  

School:  
Send a copy of the Emergency Information Form and a note stating your child is enrolled  
in the SNAP Program to the school nurse.  

Relatives:  
Share SNAP information with relatives who provide care for your child.  

Personal Vehicles:  
Keep a copy of SNAP information on your child’s specialized safety seat, and a copy in  
the glove compartment.  

School Bus or Public Transportation:  
Keep a copy in your child’s book bag, wallet or purse, and on their wheelchair or seating  
device.  

DELAWARE HEALTH AND SOCIAL SERVICES 
Division of Public Health 
Office of Emergency Medical Services

Easter Seals
 
This project was supported in part by grant number 1 H33 MC00112-03 from the Department of Health and 
Human Services, Health Resources and Services Administration, Maternal and Child Health Bureau. 

Doc. #35-05-20/07/03/26