Request Information

We would be glad to send you a free packet of information. Fill out the form below or call us at 513-948-1100 or 1-800-840-2732.
The asterisk (*) indicates a required field.
First Name:* Last Name:*
Street Address:*
City:* State:*
ZIP Code:* Email:
Phone:

I am ...
a person with Parkinson's.   a caregiver.  
a friend or relative of a Parkinsonian. a health care professional.
other. (If other, specify below.)
other:

I'd like to receive a PD information packet.
I'd like to receive an emergency room packet.
(packet with contraindicated drug information)
I'd like to receive the chapter's newsletter via e-mail.
I'd like to receive the chapter's newsletter via regular mail.
I'd like to be contacted by telephone.

As mentioned above, we also offer a further, extended selection of pamphlets and booklets that you can order by mail. All literature is free.


Tri-State Parkinson's Wellness Chapter
151 West Galbraith Road
Cincinnati, Ohio 45216
Email: info@parkinsonswellness.org
American Parkinson Disease Association