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The Polk County RUOK Program

Taking the fear out of Being Alone

Contacting an elderly person, homebound individual or latch-key child on a daily basis helps to reassure their well being and give them a feeling of security.

The Are You OK?® telephone reassurance system eases the concern of friends and family who may find it difficult to maintain consistent, reliable contact. Parents of a 9-year-old child may want to make sure their child is home on time from school. An 85-year-old woman wants the independence of living alone in her home along with the security of being monitored. The RUOK® system brings a sense of comfort into every subscriber’s home. The RUOK Program is a computer based call system that lets the the participant select the time that they would like to be contacted during the day or night. This contact can be set to make sure your child has made it home from school or a medicine reminder (a reminder to take medication). This call can also be set just to make sure you are OK and do not need any medical, fire, or law enforcement at your location. The computer calls the number that you provide and plays a prerecorded message when the phone is answered. If there is no answer at the predetermined time and number, and after a set amount of retires the computer will print a call card to our Polk County Sheriff's Office Dispatchers. Dispatchers will try to make contact and send a Sheriff's Deputy or City Police Officer to your location to check on you. This system is not designed to replace other systems like Life Alert. This is a supplement system to anything that you might have in place already. Please be mindful that accurate information and the ongoing effort to keep up this information by reporting any changes or times that you might not be home or at the designated number is vital to the success of this program working for you. If you would like to join this program please fill out the form below, hit submit and we will get you into the call system as quick as possible.

Thanks
Sheriff Kenneth Hammack
and
Polk County Social Services

R.U.OK Enrollment Form

Name:
Address:
City:
Zip Code:
Phone Number:
Date of Birth:
Time you would like to have R.U.OK call:
Do you have a answering machine:
In Case of an Emergency, Notify
Name # 1:
Address:
City:
State:
Zip Code:
Phone number:
Cell Phone:
Association with Person:
Name # 2:
Address:
City:
State:
Zip Code:
Phone Number:
Cell Phone:
Association with Person:
Next of Kin
Name:
Address:
City:
State:
Zip Code:
Phone number:
Cell Phone:
Relationship:
Key Holders

Name:
Address:
City:
State:
Zip Code:
Phone Number:
Cell Phone:
Keys on Premises:
Pets?:
Type and Location:
Live Alone?:
Co-Residents:
Medical History
Able to Walk?:
List Physical Impairments:
Location of medical History:
Remarks:

Copyright 2005 Polk County Sheriff's Office. All rights reserved.