Quick Form

ADHD (with Photo)

Leave blank any fields you don't want included. We'll do our best to include all of your information but please be aware that space is limited.

Once we receive your information, we aim to have your uCardit ready to view within 2 working days. We'll then send you an email (to the address submitted at registration) to let you know when it's in your 'Saved Cards' folder.

Front of uCardit Text:
Name		to be displayed on the uCardit
Date of birth
Resident
Contact		who and how to contact in an emergency
NHS No
Doctor		name, surgery, contact number?
Free Text		any additional information
Back of uCardit Text:
Default text	Because I have ADHD Attention Deficit / Hyperactivity Disorder I experience difficulties in some situations Please: ~ Stay calm and be patient. ~ Give me space. ~ Talk clearly and to the point. ~ Give me time to work out what you are saying. ~ Try not to interrupt if someone else is helping me.
Images
Headshot		JPG or GIF images to a max. size of 750kb

personalised plastic cards

Quick Form

ADHD (with Photo)