First Name: Last Name: Address: City: State: Zip: Phone: Fax: E-mail: Is your child on harmful psychotropic drugs? Yes No Do you know a child that is on harmful psychotropic drugs? Yes No Do you have a potential case against a psychiatrist? Yes No Would you like help with a psychiatric abuse case? Yes No Would you like to know about alternative solutions to learning disorders or aggressive behavior in children? Yes No Questions or Comments   Thank you for taking the time to review this worthy cause and put a stop to psychiatric abuse.