Front of Card:
MEDICAL INFORMATION FOR POLICE
I have the birth defect Fetal Alcohol Syndrome/Fetal Alcohol Effects, which causes brain damage. If I need assistance, or if you need my cooperation, you should contact the person listed on the back of this card.
Because of this birth defect, I do not understand abstract concepts like legal rights. I could be persuaded to admit to acts that I did not actually commit. I am unable to knowingly waive any of my constitutional rights, including my Miranda rights.
Because of my disability, I do not wish to talk with law enforcement officials except in the presence of and after consulting with an attorney. I do not consent to any search of my person or property.
Back of Card:
For information or assistance regarding:
Doctor or diagnostician: