Cognitive Alert Form for the Marlborough Police Department

Promoting a Dementia-Friendly

Marlborough, Massachusetts

For immediate assistance, you may call the Marlborough Senior Center:

508-458-6492, extension 32104

COME 2 B Dementia Friendly Marlborough, 40 New Street, Marlborough, MA 01752

Worried about a friend or loved one with dementia or Alzheimer's becoming lost? Now it is easier than ever to register an individual with the Marlborough Police Department by using our on-line form where you enter information about that person and upload a digital photo. Click HERE to use our On-Line Dementia / Cognitive Issue Alert Form.

OR

To download the Fillable City of Marlborough Police Department Dementia / Cognitive Issue Alert Form PDF, click HERE. This a form that you can fill out using Adobe Acrobat Reader or your internet browser, then print out, attach a printed photo and bring to either the Police Station or the Senior Center.

OR

If you need a photo taken of your loved one, click HERE to download our Dementia / Cognitive Alert Form Flyer PDF.

COME 2 B Dementia-Friendly Marlborough

40 New Street (Senior Center)

Marlborough, MA 01752