The City of Coral Springs has instituted a program which targets the Coral Springs senior community, and other physically challenged residents.

The Fire Department is now maintaining a database in an effort to alert fire rescue personnel of any special needs required when an emergency call is received by seniors, or residents who are confined to a wheelchair or disabled due to illness or injury.

Please complete and submit the form below and you will be contacted by a member of the Coral Springs Fire Department.

  * Required
Name *
(First) (Last)
Address *
City *
State *
Zip *
Phone *