All information will be kept confidential [and our server is secure and encrypted]. I try to call new Families in the US (cell/landline) and overseas (landline) so please be sure to include your phone number. Please enable JavaScript in your browser to complete this form.I would like to register with the group *YesNoIf you checked yes, please COMPLETE the following information:Your name *Title (if you are a professional)FOD child's/adult's nameFOD child's/adult's age *Your relationship to child/adultSpecific diagnosis *Living or deceasedLivingDeceasedDiagnosed byIf you experienced an inaccurate diagnosis prior to the FOD diagnosis, please explainMailing addressCityState *Country *Postal codeEmail *Deb replies to all emails—please check your spam folder if you don't see a response within a couple of days.Phone (optional)Deb calls all new Families worldwide that would like a callHow did you hear about FODSupport.org?Please enter your questions or commentsMessageSubmit