If you are interested in joining, please download the membership form below, and print it out. Once you have the form printed, please fill it out completely and fax or mail it to our office.

  Membership Form available here for download.

Our Membership Form is in a pdf format and requires Adobe Acrobat Reader to view. If you do not have the Reader, you may download it from Adobe here.

Should you wish to receive an informational packet of information on hydrocephalus, along with a recent newsletter, brochure and membership form, please contact our office via e-mail at debbifields@nhfonline.org or call our office. We will put together a package of requested information and mail it to you.

If you have any questions concerning the foundation and/or membership - please feel free to contact us.

Debbi Fields
Executive Director
12413 Centralia Rd.
Lakewood, CA 90715-1653

Phone: 562-924-6666
Phone: 888-857-3434

E-Mail: debbifields@nhfonline.org