(Example: Extremely Mild, Mild, Moderate, Moderately Severe, Severe)
Please type which disorder you may have: ADD/ADHD, PTSD, AUTISM, FRAGILE X, DEPRESSION, STRESS/ANXIETY, DEMENTIA.
If there are other members in your household, please type: your relation to the person, *their weight and age, their gender, their severity of disorder, their type of disorder, and any other related message you wish to display.
Please download your Seniors AARP ID No. or Drivers License No., Student ID # and College, or Military ID#.
(If information is not given, discount can not be applied)