PrepareFirst Family Safety – Atlanta’s Top Choice for Injury Prevention and Emergency Preparedness

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getting started

client feedback

client login

Click here to
get started

• • •	client area

Getting started is easy!

Please provide some basic information to assist us in contacting you. We will be in touch with you shortly to discuss your family safety goals – typically the same or next business day.

All information is optional, but the more you provide, the faster and more easily we can be of assistance. Your information is kept confidential.

family contact information

Mother's First Name
Mother's Last Name
Mother's Cell Number
Mother's Work Number
Mother's Email
Father's First Name
Father's Last Name
Father's Cell Number
Father's Work Number
Father's Email
Primary contact for our family will be
Home Phone Number
Home Address
Unit or Suite #
City
State
Zip Code
County

safety issues we wish to discuss

	Child Safety
	Home Fire Safety
	First Aid / CPR
	Emergency/Disaster Planning
	Home Security
	Home Environmental Issues (Mold/Radon/Water)
	Senior Adult Safety

we are particularly concerned about

children

Boy / Girl	First Name	Birth Month	Birth Year

directions to our home from I-75 North
(in case home is difficult to locate via GPS)

best days of the week and times of day for a PrepareFirst visit

how we heard about PrepareFirst

	Referred by a friend
	Referred by a physician
	Advertisement in
	Internet search
	Attended presentation at
	Other

PrepareFirst is a proud member of the following organizations: