Autism Alert Card

The Autism Alert card supports people with Autism in emergency situations with police and first responders.

Order Your Card

"*" indicates required fields

Complete the details below and upload a photo for your card. Once you have completed the form below you will be redirected to the payment page to purchase your card.Following completion of your order, we will send your card to your nominated address. For support, please contact us at autismalertcard@autism.org.au.

Details of the person submitting the application

Name*

First name Last name

Email*

Phone*

Details of the cardholder

Name*

First Last

Date of Birth*

Gender*

Do you have a diagnosis of Autism?*

Residential street address*

Suburb*

Postcode*

State*

Postal address for Autism Alert Card*

Address to send Autism Alert Card to*

Please include your full address

Cardholder Photo upload*

Max. file size: 32 MB.

Please provide a high-quality colour passport-sized photograph of the cardholder's face.

Details of the first contact person

Same details as person submitting application*

First name*

Last name*

Phone*

Relationship to cardholder*

Details of the second contact person

First name*

Last name*

Phone*

Relationship to cardholder*

Consent and Understanding

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Learn More

If you have a question about the Autism Alert team or require support with your order, please email autismalertcard@autism.org.au.