Information Request

Looking for more information? Our Health Information Specialists can help.

Call us at 1-800-233-4050 or
Submit your question using form below. (Asterisks (*) indicate required fields). Request our Adult Information Packet if you heard about us through the PSA campaign with Howie Mandel.

Due to the high volume of inquiries, please allow up to two weeks for a reply to online questions. Thank you!

Using SPAM Blocking Software? If you are requesting a response by email and use a "spam blocking" software program, then you must set it to accept any email from the "@chadd.org" domain. We cannot respond to information requests that require NRC staff to "verify" their identity.

Your Name

First Name*
Middle Name
Last Name*
Suffix (e.g. Jr., Sr., II, etc.)
Designation (e.g. Ph.D., M.D., Esq., LCSW, etc.)

Your Contact Preference

How would you like us to contact you?*	Email Phone Postal Mail
Preferred Language*	English Español
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Phone (include area code)
Email Address	Send a copy of this inquiry to your Email account?

What is your relationship to AD/HD?*

(Please select the 1 that is most appropriate to your inquiry)

I am...

Adult with AD/HD
Youth/Child with AD/HD
Parent of Youth/Child with AD/HD
Parent of Adult with AD/HD
Spouse/Partner of person with AD/HD
Medical Professional
Mental Health Professional
Legal Professional
Teacher/Educator
Member of the Press/Media
Student/Researcher
Other

Please type your question below*