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CONTACT the TOURETTE ASSOCIATON

The Tourette Association of America, 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 (membership in the Tourette Association 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 the Tourette Association'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 the Tourette Association's Information and Referral Staff to call me at the phone number above to discuss it

Please add my child's name to receive the Tourette Association'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 us before?
YES   NO   NOT SURE

2. Are you a member of the Tourette Association?
   YES NO NOT SURE

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

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

Approximate Date of Diagnosis 

5. Name of the Person Diagnosed

His/Her month and year of birth 

His/Her Relationship to you

 

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