Medical Form & Emergency Contact

The POA team urges you to complete new emergency contact (required) and medical assistance forms (if applicable). You may have completed them in the past, but we learned during evacuations that a great deal of the information can easily be outdated. We may need this information during/following an evacuation, as we might need to contact you regarding property damage or assist you with other needs as indicated on the forms. We are here to help, but we need your help so we can provide the best possible service!

There are 3 easy ways to obtain and return the forms:

  1. Email to obtain a copy and scan or mail the form back to
    10 Shipyard Drive, HHI, SC 29928
  2. Download the forms from the website,, and email or mail the forms back
  3. Visit the Welcome Center to obtain a hardcopy and either mail or drop the form off

Please note that any information shared via these forms will be kept strictly confidential and will not be referenced unless in case of an emergency.