Which Hip Today? Use These to Keep Track.

While continuing your child’s treatment with Daytrana^™, you may find Daytrana patch stickers to be a helpful tool. Members of the STICK program can use the stickers as a reminder to alternate hips every day by putting the stickers on the pouches that contain the Daytrana patches.

To have an additional sheet of Daytrana patch stickers sent to you, enter your information below:

*Required Information.

Yes, I am enrolled in STICK
No, I am not enrolled in STICK


*First Name:	*Last Name:


*Address 1:	Address 2:


*City:	*State:


*Zip code:

*I acknowledge that I am 13 years of age or older.

Yes
No

Important Safety Information

Tell your doctor before using Daytrana if the child: is being treated for or has symptoms of depression (e.g. sadness, worthlessness, or hopelessness) or bipolar disorder; has family history of tics; has abnormal thoughts or visions, hears abnormal sounds, or has been diagnosed with psychosis; has had seizures or abnormal EEGs; has or has had high blood pressure; exhibits aggressive behavior or hostility. Tell your doctor immediately if the child develops any of these conditions/symptoms while using Daytrana.