Following the instructions on this page carefully and you can print a customized identification card for a Phd. The form is shown on the right. There are a few simple steps to follow:

1. Update the "card" with the name and phone numbers of the person to be contacted in an emergency. (Enter the information in the form below and press ENTER or click on the "Update Card" button.
2. Print this page
3. Cut out the "card" around the edge
4. Fold it in the middle.
5. Place it between two sheets of plastic laminate

Important Notes:
• Personalizing the card only works if you use Internet Explorer as your browser.
• In Internet Explorer the card will be credit card size. In Netscape the card is a little large but can still fit in a wallet.
• The text may not be legible on your screen but if you print it on a laser printer it will be more than adequate.

I HAVE HUNTINGTON'S DISEASE CONTACT: _____________________ DAY PHONE: ____________________ ALTERNATE: ___________________ Huntington's Disease (also known as Huntington's Chorea) is an inherited brain disease, which causes uncontrollable movements, abnormal gait, slurred speech, mental deterioration and marked personality changes. There are 3 main areas that are affected by Huntington's Disease: EMOTIONAL AND COGNITIVE Patients with Huntington's Disease (Phd) exhibit depression, mood swings, inappropriate behavior; may become dependent, incommunicative, anti-social, obsessive, impatient, aggressive, abusive; and may have trouble sleeping, organizing or remembering things. Many have trouble remembering dates or appointments, and short term memory recall. They are distracted by noise, have an inability to learn new skills, sequences or retain numbers - decrease in mult-tasking abilities. Inability to access information in the brain, unable to form ideas and words easily, reluctant to initiate actions or conversations or answer questions; can't remember what has been asked a moment before. Intellect is not affected, only access to the information!

(continued from other side) PHYSICAL At the beginning, the changes are subtle: they appear to be fidgety or restless, finding it difficult to sit still and concentrate. They may wave their hands around when they speak or their feet may shuffle and tap. They seem to be in constant motion even when they are supposed to be relaxed. They will be clumsier and more awkward with movements, often running into things, knocking items over or dropping things. This is a sign of an incomplete brain thought where the command is sent to pick up something and received but not completed and the item is dropped. Their ability to judge their bodies' perimeter becomes inaccurate resulting in banging knees, shoulders, elbows and heads. The appearance of being drunk may become evident as body movement becomes uncontrolled. Unlike Alzheimer's Disease where the memories are completely gone, Phds retain the knowledge but just cannot get to it. Even if the memory is accessible, the brain's ability to completely process an action decreases. They are still aware of their surroundings and able to understand conversation and physical touch. Thank you for your help and understanding.