{"id":1875,"date":"2022-10-12T20:36:39","date_gmt":"2022-10-12T20:36:39","guid":{"rendered":"https:\/\/naglazymehcp-dev-001.azurewebsites.net\/en-us\/naglazyme\/?page_id=1875"},"modified":"2023-07-10T15:49:53","modified_gmt":"2023-07-10T15:49:53","slug":"sign-up","status":"publish","type":"page","link":"https:\/\/hcp.biomarin.com\/en-us\/naglazyme\/sign-up\/","title":{"rendered":"Sign up"},"content":{"rendered":"<div id=\"acf-block-6421752e96d38\" class=\"block hcp-sign-up-form\">\n    <div class=\"wrapper\">\n        <div class=\"inner-wrapper\">\n                            <h2>Sign up for email updates\n<\/h2>\n                                        <p>Be sure to receive updates on MPS VI and NAGLAZYME\u00ae (galsulfase).<br \/>Simply fill out the required fields, then press Sign Up.<\/p>\n<p>* Required fields.<\/p>\n            \n            <div class=\"block form-box\">\n                <form id=\"hcp-sign-up\" name=\"Sign up for email updates\n\">\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\n                    <div class=\"form-item\">\n                        <label for=\"email\">Email address<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 number<\/label>\n                        <input class=\"text\" id=\"phone-number\" type=\"text\">\n                    <\/div>\n\n                    <div class=\"form-item\">\n                        <label for=\"zip-code\">ZIP 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=\"institution\">Hospital or Clinic Affiliation<\/label>\n                        <input class=\"text\" id=\"institution\" type=\"text\">\n                    <\/div>\n\n                    <div class=\"form-item\">\n                        <label for=\"medical-speciality\">Specialty<span class=\"required\">*<\/span><\/label>\n                        <select class=\"text\" id=\"medical-speciality\" required\n                        data-pristine-required-message=\"Please select your specialty\">\n                            <option value=\"\">Please select<\/option>\n                            <option>Anesthesiology<\/option>\n                            <option>Audiology<\/option>\n                            <option>Behavioral Neurology &#038; Neuropsychiatry<\/option>\n                            <option>Biology<\/option>\n                            <option>Biomedical Engineering<\/option>\n                            <option>Cardiology<\/option>\n                            <option>Clinical Biochemical Genetics<\/option>\n                            <option>Dentistry and Odontology<\/option>\n                            <option>Dermatology<\/option>\n                            <option>Diagnostic Radiology<\/option>\n                            <option>Electroencephalography<\/option>\n                            <option>Endocrinology, Diabetes &#038; Metabolism<\/option>\n                            <option>ENT\/Otorhinolaryngologist<\/option>\n                            <option>Epileptology<\/option>\n                            <option>Gastroenterology<\/option>\n                            <option>General Practice\/Family<\/option>\n                            <option>Genetics<\/option>\n                            <option>Hearing and Speech<\/option>\n                            <option>Hematology<\/option>\n                            <option>Hematology &#038; Oncology<\/option>\n                            <option>Hepatology<\/option>\n                            <option>Infectious Diseases<\/option>\n                            <option>Infusion Nurse<\/option>\n                            <option>Infusion Therapy<\/option>\n                            <option>Intensive Care<\/option>\n                            <option>Internal Medicine<\/option>\n                            <option>Kinesiology<\/option>\n                            <option>Laboratory Management<\/option>\n                            <option>Medical Student<\/option>\n                            <option>Neonatology<\/option>\n                            <option>Nephrology<\/option>\n                            <option>Neurology<\/option>\n                            <option>Neuromuscular Medicine<\/option>\n                            <option>Nurse<\/option>\n                            <option>Nurse Practitioner<\/option>\n                            <option>Nutrition, Metabolic<\/option>\n                            <option>Obstetrics<\/option>\n                            <option>Occupational Health<\/option>\n                            <option>Oncology<\/option>\n                            <option>Ophthalmology<\/option>\n                            <option>Orthopedics<\/option>\n                            <option>Palliative\/Hospice<\/option>\n                            <option>Pediatric Allergy\/Immunology<\/option>\n                            <option>Pediatric Anesthesiology<\/option>\n                            <option>Pediatric Cardiology<\/option>\n                            <option>Pediatric Dentistry<\/option>\n                            <option>Pediatric Endocrinology<\/option>\n                            <option>Pediatric Endocrinology, Diabetes &#038; Metabolism<\/option>\n                            <option>Pediatric ENT<\/option>\n                            <option>Pediatric Gastroenterology<\/option>\n                            <option>Pediatric Gastroenterology &#038; Metabolism<\/option>\n                            <option>Pediatric Genetics<\/option>\n                            <option>Pediatric Hematology<\/option>\n                            <option>Pediatric Hematology-Oncology<\/option>\n                            <option>Pediatric Metabolism<\/option>\n                            <option>Pediatric Neurology<\/option>\n                            <option>Pediatric Neurosurgery<\/option>\n                            <option>Pediatric Oncology<\/option>\n                            <option>Pediatric Ophthalmology and Strabismus Specialist<\/option>\n                            <option>Pediatric Orthopedics<\/option>\n                            <option>Pediatric Pneumology<\/option>\n                            <option>Pediatric Radiology<\/option>\n                            <option>Pediatric Rheumatology<\/option>\n                            <option>Pediatrics<\/option>\n                            <option>Pharmacist<\/option>\n                            <option>Phonoaudiology<\/option>\n                            <option>Physiatry<\/option>\n                            <option>Physician Assistant<\/option>\n                            <option>Physiotherapy<\/option>\n                            <option>Primary Care<\/option>\n                            <option>Psychology \/ Psychiatry<\/option>\n                            <option>Pulmonology<\/option>\n                            <option>Radiology (MRI imaging)<\/option>\n                            <option>Research<\/option>\n                            <option>Rheumatology<\/option>\n                            <option>Social Worker<\/option>\n                            <option>Surgery<\/option>\n                            <option>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=\"connect-local-rep\" name=\"connect-local-rep\">\n                        <label for=\"connect-local-rep\">I\u2019d like a BioMarin representative to contact me.<\/label>\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 the box to the left and clicking Submit below, I confirm I am at least 18 years old; and confirm I agree to BioMarin\u2019s <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 updates about news and developments about Naglazyme; 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=\"Sign up\">\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                                                    <p class=\"inline-buttons\">\n                        <a class=\"button button-arrow\" href=\"\/en-us\/naglazyme\/\" target=\"_self\">Go back to home page<\/a>                    <\/p>\n                            <\/div>\n        <\/div>\n    <\/div>\n<\/div>","protected":false},"excerpt":{"rendered":"","protected":false},"author":4,"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-1875","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>Naglazyme | HCP Sign Up Form<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/hcp.biomarin.com\/en-us\/naglazyme\/sign-up\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Naglazyme | HCP Sign Up Form\" \/>\n<meta property=\"og:url\" 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