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
Image Verification	Please enter the characters from the image in the box below.