top of page


VIP Sibling Kit
Order Form

I am a member of the Alliance Facebook Support Group

Only registered members of the PCDH19 Facebook Support Group who reside in the U.S. may register to receive a VIP Sibling Kit. If you are not a member you will be contacted about how to become one.

If you are outside of the U.S., many of the resources can be accessed digitally to be downloaded or printed here.

I would like to request a Parent & Caregiver resource kit
I would like to request VIP Sibling kit(s)

For more than 4 siblings, please complete an additional form.

Which kit for Sibling 1
Which kit for Sibling 2
Which kit for Sibling 3
Which kit for Sibling 4

Address where kit(s) should be mailed:

bottom of page