Brain Injury ID Card Generator

Important

Fill out the form below to create your ID. You can print it out and keep it in your wallet or purse. In case of an emergency, first responders will be able to use the information on your ID to contact your emergency contact.

Your contact information

Preview

Brain Injury
Identification Card
I have a brain injury which may affect
my behavior and ability to communicate.
Name:
Emergency
Contact:
Emergency
Phone:

To prevent misunderstandings, please see reverse for symptoms.

Fold here
SYMPTOMS OF A BRAIN INJURY INCLUDE:
I communicate most effectively when conversations are conducted with patience and understanding. In case of a crisis or if you need additional assistance, please refer to the emergency contact number on the reverse side of this card. Thank you for your cooperation and support.

Instructions

  • Print your card after completing all required info
  • Cut out card around solid black line.
  • Fold the card in half along the dotted line

Printing Instructions

Printers vary in size and capacity. For best result, make sure you select "actual size" in the print dialog.

View Printing Instructions

Select symptoms

Please select the symptoms that apply to you. You can choose a maximum of 8 symptoms. This information will be printed on the back of your ID card. Remove an item from the list by clicking on it inside "Preview".

Physical Symptoms
Emotional Symptoms
Cognitive Symptoms
Communication Symptoms
Other Symptoms

If you have any other symptoms that are not listed above, please add them below.