A woman with a cane walks her standard poodle service dog in a pink vest with the red wallet down a sunny shopping street
For POTS and dysautonomia service dog teams

A medical ID for handlers with a POTS service dog

Your POTS diagnosis and medications go on the front for responders. Your dog's alerts and the person who takes your dog go on the back, right on the vest.

Rated 4.9 Ships in 24 hours Designed with firefighters, EMTs and police Army veteran owned
On the back of the cardNudges me to sit before I faint
Before they guess

A racing heart and shaking can look like a panic attack to a stranger

POTS and anxiety both involve adrenaline, so the symptoms are easy to confuse. Tap each moment to see what your card does.

A woman rises slowly from a bus stop bench as her poodle service dog with the red wallet braces against her legs
A black Labrador service dog in a vest with the red wallet nudges its handler at a library table
Two paramedics kneel beside a handler on a busy sidewalk while one reads the card from the service dog's red wallet
A woman sits on a bench outside a cafe with her golden retriever service dog while an EMT kneels to check on her
A wheelchair user and his yellow Labrador service dog in a blue vest are greeted by an ER nurse in a bright hospital lobby
A familiar face kneels to greet a golden retriever service dog in a red vest as paramedics wait by the ambulance
Standing up

Your heart rate climbs when you stand

POTS is diagnosed in adults when heart rate rises by 30 beats per minute or more after standing up.

Step 1 of 6

POTS figures from the British Psychological Society. Source

What a POTS service dog card could say

Your POTS on the front, your dog's tasks on the back. Tap a line to see why it's there.

Patient information Riley Chen  D.O.B. 02/21/1997 Denver, Colorado
Medical Conditions  POTS
Medications  Fludrocortisone, propranolol
Allergies  Sulfa drugs
Notes  Fainting and shaking are part of my POTS. Electrolytes in side pocket.
Emergency Contacts
Dana Chen, parent (555) 0164
Emergency Dog Contacts
Vet · Front Range Animal Hospital (555) 0107
Dog Handler · Avery Park, roommate (555) 0139
Service Dog Alerts
Nudges me before I faint, braces so I can sit down

Sample card with a made up name. Yours is engraved with your own details.

Tap a line to see why it's thereAdd to cart · $50

Your dog is bracing you, and the card tells responders it was trained to

Pushing against your legs or lying across you can look like a dog in the way. Write down what your dog does, so responders let it keep doing its job while they care for you.

Tap what a responder sees
A woman sits on a crate at an outdoor market beside her poodle service dog as a vendor crouches and reads the card from its wallet
A paramedic kneels in a parking lot beside a black Labrador service dog in a blue vest and reads the card from its wallet
A golden retriever with the red wallet on its green vest sits by its handler on a forest trail while a rescuer helps her
What the card tells them Alerts before I faint Help me sit or lie down. My dog noticed first.

Wake up knowing where your POTS service dog is

The first thing you'll ask when you come to is where your dog is. Your card names your Emergency Dog Handler, so responders call someone your dog knows.

A German Shepherd service dog lies alone on the concrete floor of an animal control kennel, head on its paws, looking out through the gate Without a plan
Animal control gets the callNobody on scene knows who should take your dog.
Your dog waits in a kennelA hold period, paperwork and fees before your dog comes home.
You worry instead of restingWhich is the last thing your heart rate needs.
A man kneels in a park at sunset beside a black Labrador service dog wearing the red wallet With NooknRook
Responders read the back of your cardYour Emergency Dog Handler's name and number are right there.
A roommate or family member gets the callSomeone your dog trusts who can handle its size.
Your dog stays in its routineFamiliar people and a familiar place until you're home.

Responders see POTS first, so you can skip the explaining

You've probably explained POTS to enough people already. Let the card do it this time, right where responders look when you're on the ground.

“This is a lifesaving product!”
LLizVerified buyer · Service dog handler
Close up of the red Medical Information wallet on a yellow Labrador service dog's gray vest at dusk
  • Bright red patch

    Red is the color responders scan for, so they find your card fast.

  • Magnetic closure

    Stays shut through bracing and a full shake off, and opens in one motion.

  • Built in strap

    Clips onto a bracing harness handle or D ring if your gear doesn't have a loop panel.

POTS service dog questions

The ADA doesn't require an ID card, badge or registration for a service dog. NooknRook is a medical ID for you and an emergency plan for your dog. Read the full guide

Still have a question? Contact us

Common POTS service dog tasks include alerting before an episode, bracing so the handler can sit or lie down safely, retrieving water or medication and getting help.

Some POTS service dogs are trained to alert to changes before an episode. Ask your trainer what your dog responds to and list that on the back of your card.

Both involve adrenaline, so a racing heart and shaking can look alike. Listing POTS on your card gives responders the context.

POTS is one form of dysautonomia, so many handlers use both terms. Your card can list whichever diagnosis your doctor gave you.

No. The ADA doesn't require an ID card or registration for a service dog, and NooknRook isn't one. It's a medical ID for you and a plan for your dog.

Order a new $15 card and swap it into the wallet you already have.

Help responders see POTS, and keep your dog with someone you trust

Get your Medical ID · $50 Most orders ship in 24 hours
A responder's gloved hand reaches for the red Medical Information wallet on a German Shepherd service dog's black vest