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Notice

I have a medically documented acquired brain injury. Please read this card.

Name:

Address:

Emergency Contacts

Name:

Phone:

Name:

Phone:

Name:

Phone:

Warning

I best communicate in a calm, non-confrontational manner. If you observe any of the symptoms on this card, please contact the Emergency Contact number on this card.

Symptoms of an Acquired Brain Injury may include:

• Poor coordination, or Slurred speech and/or vision or impaired hearing
• Memory, attention, or processing difficulties
• Difficulty controlling anger or behavior
• Delayed thought processing and response time
• Confusion, disorientation, or distractibility
• Impaired judgment, insight or reasoning and planning skills
• Inappropriate or compulsive behavior
• Seizures, headaches, fatigue or other medical conditions

Note - Reasonable Accommodations may include:

Reducing or modifying flashing lights, loud sirens, and other overstimulating triggers may worsen these symptoms. Please reduce or modify these triggers when possible.

Title II of the Americans with Disabilities Act provides that law enforcement agencies and officers must provide effective communication and reasonable accommodations during interactions with individuals with disabilities, as well as the right to request modifications to policies, practices, and procedures to ensure accessibility.