Austintown Township Home Page

82 Ohltown Road Austintown, OH 44515

Phone 330-792-8584

Fax 330-259-7895
 
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Medical Contact Form

In an effort to handle issues involving residents with autism or other medical issues as best as possible we are asking the the Medical Contact Form be completed and submitted to the Township's Communications Division. This information may be used by police, fire and medical personnel. Please complete one form per person.

In order to view/complete this form you will need to have a copy of Adobe's Acrobat reader installed on your computer. Most computers already have this program loaded on them but if your does not then you get download a free copy of the program by clicking here. While you can print and complete this form by hand we ask that you complete the form on-line then print it.

If you have any questions you can contact us at 330-270-5105



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