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CONTACT TSA

TSA, founded in 1972, is dedicated to education, service, and research to identify the
cause of, find the cure for, and control the effects of Tourette Syndrome.

We have a full-time Information and Referral staff to assist you.
call us at 718-224-2999, fax us at 718-279-9596, or
OR EMAIL US BY FILLING IN THE FORM BELOW



 * REQUIRED INFORMATION

          Name*

          Street Address*

          City, State, Zip*

          Phone (please enter numbers and dashes ONLY, e.g. 123-123-1234)


          E-Mail*

             

Do you Have a Specific Request/Question?
Help us to help you better - if one of the boxes below applies, then please check it.
If not, kindly type your message in the "Other" box provided.  Thank You.

Please send some basic information about Tourette Syndrome

Please send list of physicians in my state (The professionals listed have indicated
that they have prior experience, expertise and an interest in diagnosing and treating
people with Tourette Syndrome)

Please send list of Counselors, Therapists, Psychologists in my State (professionals
listed have indicated that they have prior experience, expertise and an interest in
diagnosing and treating people with Tourette Syndrome)

Please send information about joining TSA (membership in TSA membership
includes membership in your local chapter - click here to see if there's a chapter near you)

I'm an adult with TS and would like a member of TSA's Information and Referral Staff to
call me at the phone number above

I have a question about my child and would like a member of TSA's Information and
Referral Staff to call me at the phone number above to discuss it

Please add my child's name to receive TSA's FREE Children's Newsletter

If you are a medical doctor or allied professional, please tell us your specialty                                            
 

Other message / comments / more information / name of child
to receive Children's Newsletter


1. Have you ever contacted TSA before?
YES   NO   NOT SURE

2. Are you a member of TSA?   YES NO NOT SURE

3. Do you receive the TSA Newsletter in the mail? 
YES    NO    NOT SURE

4. Do you (or person related  to you / person you're calling
about) have a confirmed diagnosis of TS?
YES    NO    NOT SURE

Approximate Date of Diagnosis 

5. Name of the Person Diagnosed

His/Her date of birth 

His/Her Relationship to you

  


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©2007-2014 Tourette Syndrome Association, Inc. / 42-40 Bell Boulevard / Bayside NY 11361 / 718-224-2999