Advocacy/Support Organizations Edit Form

If you would like to be considered for inclusion in WE MOVE's International Guide to Movement Disorder Patient Advocacy Groups and Foundations, kindly complete the following form.

Organization Information:
Disorder of Focus	--Select a Disorder-- Ataxia / Olivopontocerebellar atrophy Bradykinesia Choreoathetosis Conditions associated with movement disorders Corticobasal degeneration Dyskinesias, paroxysmal Dystonia Essential tremor - See Tremor Hemiballismus Hemifacial spasm Hereditary Spastic Paraplegia Huntington's disease Multiple system atrophy Myoclonus Parkinson's disease Paroxysmal Dyskinesias Progressive supranuclear palsy Restless legs syndrome Rett syndrome Spasticity Stiff-person syndrome Sydenham's chorea Tardive dyskinesia / Dystonia Tics / Tourette's syndrome Tremor Wilson disease
Sub disorder	--Select a Sub-disorder-- --No related sub-disorder-- Blepharospasm Brain/Head Injury Cerebral Palsy Lewy Body Dementia Mitochondrial Diseases Multiple Sclerosis Neurotransmitter Diseases - Pediatric Spasmodic Dysphonia Spastic Paraplegia Spinal Cord Injury Stroke Torticollis (cervical dystonia)
Group title
Title translation (English)
Affiliation title
Organization Contact Information:
Contact name
Address
City
State/Province
Postal code
Country
Telephone
Fax
E-mail
Web address
Please enter your name (if different than above) AND the country that your group serves (if different that above):
Resources
Officers:
President
Med. Director
Exec. Director
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