{"id":1068,"date":"2024-11-18T14:36:51","date_gmt":"2024-11-18T14:36:51","guid":{"rendered":"https:\/\/brineurahcp-dev-001.azurewebsites.net\/en-us\/brineura\/?page_id=1068"},"modified":"2026-03-11T12:48:01","modified_gmt":"2026-03-11T12:48:01","slug":"hcp-sign-up","status":"publish","type":"page","link":"https:\/\/hcp.biomarin.com\/en-us\/brineura\/hcp-sign-up\/","title":{"rendered":"HCP Sign Up"},"content":{"rendered":"<div id=\"acf-block-673b51038c7ac\" class=\"block hcp-sign-up-form\">\n    <div class=\"wrapper\">\n        <div class=\"inner-wrapper\">\n            <div class=\"above-form-copy\">\n                                    <h2>Register to receive updates today\n<\/h2>\n                                                    <p>BioMarin is your partner in care\u2014committed to providing you with the information and support you need throughout the treatment process.<\/p>\n<p>Registering for updates helps you stay current on the latest news about CLN2 disease and Brineura\u00ae (cerliponase alfa).<\/p>\n<p>* Required fields<\/p>\n                            <\/div>\n\n            <div class=\"block form-box\">                \n                <form id=\"hcp-sign-up\" name=\"HCP sign-up form\">\n                    <div class=\"form-columns\">\n                        <div class=\"form-item\">\n                            <label for=\"first-name\">First Name<span class=\"required\">*<\/span><\/label>\n                            <input class=\"text\" id=\"first-name\" type=\"text\" required\n                            data-pristine-required-message=\"Please enter your first name\">\n                        <\/div>\n                        \n                        <div class=\"form-item\">\n                            <label for=\"last-name\">Last Name<span class=\"required\">*<\/span><\/label>\n                            <input class=\"text\" id=\"last-name\" type=\"text\" required\n                            data-pristine-required-message=\"Please enter your last name\">\n                        <\/div>\n                    <\/div>\n                    \n                    <div class=\"form-columns\">\n                        <div class=\"form-item\">\n                            <label for=\"email\">Email<span class=\"required\">*<\/span><\/label>\n                            <input class=\"text\" id=\"email\" type=\"email\" required\n                            data-pristine-required-message=\"Please enter your email address\">\n                        <\/div>\n                        \n                        <div class=\"form-item\">\n                            <label for=\"phone-number\">Phone<\/label>\n                            <input class=\"text\" id=\"phone-number\" type=\"text\"\n                            data-pristine-required-message=\"Please enter your phone number\"\n                            data-pristine-pattern-message=\"Please enter a valid phone number\"\n                            data-pristine-pattern=\"\/^\\(?([0-9]{3})\\)?[-. ]?([0-9]{3})[-. ]?([0-9]{4})$\/\">\n                        <\/div>\n                    <\/div>\n                    \n                    <div class=\"form-columns\">\n                        <div class=\"form-item\">\n                            <label for=\"zip-code\">U.S. Postal Code<span class=\"required\">*<\/span><\/label>\n                            <input class=\"text\" id=\"zip-code\" type=\"text\" required\n                            data-pristine-required-message=\"Please enter your ZIP code\"\n                            data-pristine-pattern-message=\"Please enter a valid ZIP code\"\n                            data-pristine-pattern=\"\/^\\d{5}(-\\d{4})?$\/i\">\n                        <\/div>\n                        \n                        <div class=\"form-item\">\n                            <label for=\"practice-name\">What is your practice name?<span class=\"required\">*<\/span><\/label>\n                            <input class=\"text\" id=\"practice-name\" type=\"text\" required\n                            data-pristine-required-message=\"Please enter your practice name\">\n                        <\/div>\n                    <\/div>\n                    \n                    <div class=\"form-item\">\n                        <label for=\"speciality\">What is your specialty?<span class=\"required\">*<\/span><\/label>\n                        <select class=\"text\" id=\"speciality\" required\n                        data-pristine-required-message=\"Please select an option\">\n                            <option value=\"\">Please select an option<\/option>\n                            <option value=\"Anesthesiology\">Anesthesiology<\/option>\n                            <option value=\"Audiology\">Audiology<\/option>\n                            <option value=\"Behavioral Neurology &#038; Neuropsychiatry\">Behavioral Neurology &#038; Neuropsychiatry<\/option>\n                            <option value=\"Biology\">Biology<\/option>\n                            <option value=\"Biomedical Engineering\">Biomedical Engineering<\/option>\n                            <option value=\"Cardiology\">Cardiology<\/option>\n                            <option value=\"Clinical Biochemical Genetics\">Clinical Biochemical Genetics<\/option>\n                            <option value=\"Dentistry and Odontology\">Dentistry and Odontology<\/option>\n                            <option value=\"Dermatology\">Dermatology<\/option>\n                            <option value=\"Diagnostic Radiology\">Diagnostic Radiology<\/option>\n                            <option value=\"Electroencephalography\">Electroencephalography<\/option>\n                            <option value=\"Endocrinology, Diabetes &#038; Metabolism\">Endocrinology, Diabetes &#038; Metabolism<\/option>\n                            <option value=\"ENT\/Otorhinolaryngologist\">ENT\/Otorhinolaryngologist<\/option>\n                            <option value=\"Epileptology\">Epileptology<\/option>\n                            <option value=\"Gastroenterology\">Gastroenterology<\/option>\n                            <option value=\"General Practice\/Family\">General Practice\/Family<\/option>\n                            <option value=\"Genetics\">Genetics<\/option>\n                            <option value=\"Haemostaseology\">Haemostaseology<\/option>\n                            <option value=\"Hearing and Speech\">Hearing and Speech<\/option>\n                            <option value=\"Hematology\">Hematology<\/option>\n                            <option value=\"Hematology &#038; Oncology\">Hematology &#038; Oncology<\/option>\n                            <option value=\"Hemophilia Treatment Center Director\">Hemophilia Treatment Center Director<\/option>\n                            <option value=\"Hepatology\">Hepatology<\/option>\n                            <option value=\"Infectious Diseases\">Infectious Diseases<\/option>\n                            <option value=\"Infusion Nurse\">Infusion Nurse<\/option>\n                            <option value=\"Infusion Therapy\">Infusion Therapy<\/option>\n                            <option value=\"Intensive Care\">Intensive Care<\/option>\n                            <option value=\"Internal Medicine\">Internal Medicine<\/option>\n                            <option value=\"Kinesiology\">Kinesiology<\/option>\n                            <option value=\"Laboratory Management\">Laboratory Management<\/option>\n                            <option value=\"Medical Student\">Medical Student<\/option>\n                            <option value=\"Neonatology\">Neonatology<\/option>\n                            <option value=\"Nephrology\">Nephrology<\/option>\n                            <option value=\"Neurology\">Neurology<\/option>\n                            <option value=\"Neuromuscular Medicine\">Neuromuscular Medicine<\/option>\n                            <option value=\"Nurse\">Nurse<\/option>\n                            <option value=\"Nurse Practitioner\">Nurse Practitioner<\/option>\n                            <option value=\"Nutrition, Metabolic\">Nutrition, Metabolic<\/option>\n                            <option value=\"Obstetrics\">Obstetrics<\/option>\n                            <option value=\"Occupational Health\">Occupational Health<\/option>\n                            <option value=\"Oncology\">Oncology<\/option>\n                            <option value=\"Ophthalmology\">Ophthalmology<\/option>\n                            <option value=\"Orthopedics\">Orthopedics<\/option>\n                            <option value=\"Palliative\/Hospice\">Palliative\/Hospice<\/option>\n                            <option value=\"Pediatric Allergy\/Immunology\">Pediatric Allergy\/Immunology<\/option>\n                            <option value=\"Pediatric Anesthesiology\">Pediatric Anesthesiology<\/option>\n                            <option value=\"Pediatric Cardiology\">Pediatric Cardiology<\/option>\n                            <option value=\"Pediatric Dentistry\">Pediatric Dentistry<\/option>\n                            <option value=\"Pediatric Endocrinology\">Pediatric Endocrinology<\/option>\n                            <option value=\"Pediatric Endocrinology, Diabetes &#038; Metabolism\">Pediatric Endocrinology, Diabetes &#038; Metabolism<\/option>\n                            <option value=\"Pediatric ENT\">Pediatric ENT<\/option>\n                            <option value=\"Pediatric Gastroenterology\">Pediatric Gastroenterology<\/option>\n                            <option value=\"Pediatric Gastroenterology &#038; Metabolism\">Pediatric Gastroenterology &#038; Metabolism<\/option>\n                            <option value=\"Pediatric Genetics\">Pediatric Genetics<\/option>\n                            <option value=\"Pediatric Hematology\">Pediatric Hematology<\/option>\n                            <option value=\"Pediatric Hematology-Oncology\">Pediatric Hematology-Oncology<\/option>\n                            <option value=\"Pediatric Metabolism\">Pediatric Metabolism<\/option>\n                            <option value=\"Pediatric Neurology\">Pediatric Neurology<\/option>\n                            <option value=\"Pediatric Neurosurgery\">Pediatric Neurosurgery<\/option>\n                            <option value=\"Pediatric Oncology\">Pediatric Oncology<\/option>\n                            <option value=\"Pediatric Ophthalmology and Strabismus Specialist\">Pediatric Ophthalmology and Strabismus Specialist<\/option>\n                            <option value=\"Pediatric Orthopedics\">Pediatric Orthopedics<\/option>\n                            <option value=\"Pediatric Pneumology\">Pediatric Pneumology<\/option>\n                            <option value=\"Pediatric Radiology\">Pediatric Radiology<\/option>\n                            <option value=\"Pediatric Rheumatology\">Pediatric Rheumatology<\/option>\n                            <option value=\"Pediatrics\">Pediatrics<\/option>\n                            <option value=\"Pharmacist\">Pharmacist<\/option>\n                            <option value=\"Phonoaudiology\">Phonoaudiology<\/option>\n                            <option value=\"Physiatry\">Physiatry<\/option>\n                            <option value=\"Physician Assistant\">Physician Assistant<\/option>\n                            <option value=\"Physiotherapy\">Physiotherapy<\/option>\n                            <option value=\"Primary Care\">Primary Care<\/option>\n                            <option value=\"Psychology \/ Psychiatry\">Psychology \/ Psychiatry<\/option>\n                            <option value=\"Pulmonology\">Pulmonology<\/option>\n                            <option value=\"Radiology (MRI imaging)\">Radiology (MRI imaging)<\/option>\n                            <option value=\"Research\">Research<\/option>\n                            <option value=\"Rheumatology\">Rheumatology<\/option>\n                            <option value=\"Social Worker\">Social Worker<\/option>\n                            <option value=\"Surgery\">Surgery<\/option>\n                            <option value=\"Transfusion Medicine\">Transfusion Medicine<\/option>\n                            <option value=\"Traumatology\">Traumatology<\/option>\n                            <option value=\"Unknown\">Other<\/option>\n                        <\/select>\n                    <\/div>\n                    \n                    <div class=\"form-item check-item\">\n                        <input type=\"checkbox\" id=\"accept-ts-cs\" name=\"accept_ts_cs\" required\n                        data-pristine-required-message=\"Please agree to the terms of use\">\n                        <label for=\"accept-ts-cs\">By checking this box and clicking GET UPDATES below, I confirm I am at least 18 years old; confirm I agree to BioMarin&#8217;s <a href=\"https:\/\/www.biomarin.com\/data-privacy-center\/\" target=\"_blank\">Privacy Policy and CCPA Notice<\/a> and <a href=\"http:\/\/biomarin.com\/terms-of-use\/en-us\/\" target=\"_blank\">Terms of Use<\/a>; consent to BioMarin, its successors, agents, and\/or assigns using the email address I have provided to keep me informed about news and developments, market research or surveys, or other opportunities that may be of interest to me; and confirm I understand these communications\/materials may contain information that markets or advertises BioMarin products, goods or services.<span class=\"required\">*<\/span><\/label>\n                    <\/div>\n\n                    <div class=\"form-item\">\n                        <input type=\"submit\" class=\"button\" value=\"Get Updates\">\n                    <\/div>\n                <\/form>\n                <form id=\"mktoForm_3470\" style=\"display:none;\"><\/form>\n            <\/div>\n\n            <div class=\"block form-success-confirmation\" style=\"display:none;\">\n                                    <h3>Thank you!<\/h3>\n<p>We&#8217;ll be in touch soon with additional information.<\/p>\n                                            <\/div>\n        <\/div>\n    <\/div>\n<\/div>","protected":false},"excerpt":{"rendered":"","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"class_list":["post-1068","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>HCP Sign Up - BioMarin Brineura HCP EN-US<\/title>\n<meta name=\"description\" content=\"Registering for updates helps you stay current on the 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