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COPD-Watch Program

In the past, we have had friends that we've made on the list "disappear," and we had no way of knowing if they were all right or not. We have subscribers that live alone and might need help. So we devised a plan to try and keep in touch with other subscribers privately. The concept is that individuals who wish to participate provide some information concerning how they may be contacted and the name and telephone of a neighbor or relative who also could be contacted for the same purpose. Everyone is assigned to a "Watch Group," but only basic identification information is provided to the group.

The Watch Group decides for themselves how they want to contact each other, how often (but it is the intention to contact all that live alone at least once daily), and what additional information they want to exchange. In the event that someone disappears, the List Managers are contacted using the email address: Management@copd-support.com . Then a phone call or two is made to try and determine where the individual is and if they need assistance. The system does work and we have found it necessary to use it several times. But this is what it is all about; spreading our friendship in the time of need. So if you are interested in joining our COPD-Watch Program, please fill out the form below. The information will be maintained in a database and not released to anyone unless it is necessary to determine the well being of a fellow group member.

 

Please understand what the Watch Program is not.....

  • The Watch Program is in addition to your support structure, and is not intended to be the primary means for handling emergencies.
  • The Watch Program is not intended primarily as a "chat group". In order to remain in the group you must maintain daily contact if you live alone (or provide advance information that you will not be available) and if you do not live alone, then frequent communication to others in the group is expected. These groups normally do establish a close bond for those that belong, but that is a side benefit - not the main purpose.
Please Add Me To a Watch Group. I understand that the COPD-Watch Program is in addition to my support structure and not intended to be the primary means for handling emergencies.

 

Please fill in all blanks or explain why you left it incomplete.

Name:

Address:

City/State/Zip

Do you live alone?

Phone:

E-Mail:

Emergency Contact Name:  (Someone who does not live with you.)

Emergency Contact Relationship:

Emergency Contact Phone:

Emergency Contact E-Mail:

Reason For Your Interest In Program and Other Remarks:

 

If You Press   you are acknowledging that you understand this program does not replace your established emergency structure. You agree to adhere to your group's contact schedule, and you will notify the group if you will be unreachable and for how long. You authorize Management to contact you and/or your emergency contact in the event you cannot be reached by way of normal e-mail. You also agree to contact Management of any changes in your personal, contact, or other identifying information as soon as possible, including changes in e-mail address.

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Contact:  Management       .