Apply for a Brain Injury Wallet Card - You will be required to complete a Resource Facilitation Form as part of the application process.
All information you provide will be used to help Brain Injury Resource Center of Wisconsin build a better picture of brain injury in Wisconsin. Data will be stored securely and confidentially in accordance with data protection laws. Each card is personalized, helping the card holder to explain the effects of their brain injury and request any support they may need.
The following items are required prior to issuance of the Brain Injury Wallet Card
1) A passport style photo of yourself, ready to upload to the form. Please ensure:
The photo is in color
The photo is clear and in focus
The photo is without any creases or tears
You are facing forward and looking straight at the camera
Sunglasses are not worn (prescription glasses are permitted)
You do not have a head covering (unless it’s for religious or medical reasons)
No other persons may be shown in the photograph
A plain background or an unidentifiable location in the background is required
No animals may be in the picture
Smiles are preferred, but not required
2) Verification of your brain injury – our Resource Facilitation Specialists will assist you with this verification
Please note: due to a recent increase in the number of brain injury wallet card applications received, it may take up to 4 weeks to process your application and send out your ID card.
FAQ: About the Brain Injury Wallet Card
Why should I carry a Brain Injury Resource Center of Wisconsin - Brain Injury Wallet Card?
The complexities of brain injury can make it difficult for people to ask for support. Carrying an official Brain Injury Resource Center of Wisconsin - Brain Injury Wallet Card can provide you with the confidence to know that if you need help, your needs can be easily identified, whether in social situations, or if you come into contact with police officers or other emergency services.
Who can apply?
The card is available to anyone in Wisconsin aged 18 and over who has a verifiable brain injury. If you are living in another state that does not offer the Brain Injury Identification Wallet Card, Wisconsin criteria applies.
I’m not currently involved with BIRCofWI. Can I still apply for a card?
Yes. Anyone living with the effects of brain injury can apply for a card, however, a Resource Facilitation Specialist will contact you for basic information and a completed Brain Injury Verification Form is required.
I have never come into contact with the police – is this card for me?
Absolutely! The card can be used in many different everyday social scenarios to help you access any support you may need.
What is required?
Clinical verification of brain injury and a photo are required, as well as some information about how your brain injury affects you. A Resource Facilitation Specialist will contact you for basic information
How much does it cost?
The card is provided free-of-charge ( donations to defer the cost of creating a card is appreciated)
How long does it take to get my card?
Once the Brain Injury Verification Form has been completed and received, it may take 4 to 6 weeks to receive the card.
Email: firstname.lastname@example.org Phone: 262-770-4882 Fax: 262-436-1747
We are located at 511 North Grand Ave, Waukesha, WI 53186 - For information in Waukesha and Statewide
Office Hours are Tuesday, Wednesday, and Thursday 1:00 pm until 5:00 pm
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