{"id":2625,"date":"2022-09-01T15:43:38","date_gmt":"2022-09-01T15:43:38","guid":{"rendered":"https:\/\/palynziqhcp-dev-001.azurewebsites.net\/en-us\/palynziq\/?page_id=2625"},"modified":"2024-06-12T13:50:50","modified_gmt":"2024-06-12T13:50:50","slug":"register-for-updates","status":"publish","type":"page","link":"https:\/\/hcp.biomarin.com\/en-us\/palynziq\/register-for-updates\/","title":{"rendered":"Stay Up to Date"},"content":{"rendered":"<div id=\"acf-block-63ff608e18d0d\" class=\"wrapper hero-wrapper\">\n    <div class=\"hero hero-no-overlay\">\n                    <div class=\"hero-background-image hero-background-image-desktop\" style=\"background-image: url(https:\/\/hcp.biomarin.com\/en-us\/palynziq\/wp-content\/uploads\/sites\/3\/2022\/09\/stars_bg-2000x394.jpg);\"><\/div>\n            <div class=\"hero-background-image hero-background-image-mobile\" style=\"background-image: url(https:\/\/hcp.biomarin.com\/en-us\/palynziq\/wp-content\/uploads\/sites\/3\/2022\/09\/stars_bg-2000x394.jpg);\"><\/div>\n                <div class=\"overlay\"><\/div>\n        <div class=\"wrapper\">\n            <div class=\"inner-wrapper\">\n                <div class=\"hero-content\">\n                                                                                    <h1>Stay Up to Date\n<\/h1>\n                                                                                                <\/div>\n            <\/div>\n        <\/div>\n    <\/div>\n    <\/div>\n\n<div id=\"acf-block-63ff608e18d6d\" class=\"block wrapped-content block-tight-top block-tight-bottom\">\n    <div class=\"wrapper\">\n        <div class=\"inner-wrapper\">\n                \n<div id=\"acf-block-63ff608e18d87\" class=\"block-wysiwyg\">\n            <p class=\"p1\">Sign up for updates about PALYNZIQ.<\/p>\n<p class=\"p1\">You can also request to connect with a local BioMarin representative who can share resources or schedule educational speakers for you and your practice.<\/p>\n    <\/div>\n        <\/div>\n    <\/div>\n<\/div>\n\n<div id=\"acf-block-63ff608e18d9e\" class=\"block hcp-contact-msl-request-form block-tight-top block-tight-bottom\">\n    <div class=\"wrapper\">\n        <div class=\"inner-wrapper\">\n                        <div class=\"block form-box\">\n                <p>(* indicates a required field.)<\/p>\n                <form id=\"hcp-contact-msl-request\" name=\"Request a PALYNZIQ Peer-to-Peer Discussion\">\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 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=\"medical-speciality\">Medical specialty<span class=\"required\">*<\/span><\/label>\n                            <select class=\"text\" id=\"medical-speciality\" required\n                            data-pristine-required-message=\"Please select your medical specialty\">\n                                <option value=\"\">Please Select<\/option>\n                                <option>Endocrinology, Diabetes &amp; Metabolism<\/option>\n                                <option>General Practitioner\/Family<\/option>\n                                <option>Genetics<\/option>\n                                <option>Nurse Practitioner<\/option>\n                                <option>Nutrition, Metabolic<\/option>\n                                <option>Pediatric Endocrinology<\/option>\n                                <option>Pediatric Endocrinology, Diabetes &amp; Metabolism<\/option>\n                                <option>Pediatric Genetics<\/option>\n                                <option>Pediatric Metabolism<\/option>\n                                <option>Pediatrics<\/option>\n                                <option>Physician&#8217;s Assistant<\/option>\n                                <option>Primary Care<\/option>\n                                <option>Psychology<\/option>\n                                <option>Registered Nurse<\/option>\n                                <option>Social Worker<\/option>\n                                <option value=\"Unknown\">Other<\/option>\n                            <\/select>\n                        <\/div>\n                    <\/div>\n\n                    <div class=\"form-columns\">\n                        <div class=\"form-item\">\n                            <label for=\"institution\">Institution<span class=\"required\">*<\/span><\/label>\n                            <input class=\"text\" id=\"institution\" type=\"text\" required\n                            data-pristine-required-message=\"Please enter your institution\">\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                            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})$\/\">\n                        <\/div>\n                    <\/div>\n\n                    <div class=\"form-columns\">\n                        <div class=\"form-item\">\n                            <label for=\"zip-code\">ZIP code<span class=\"required\">*<\/span><\/label>\n                            <input class=\"text\" id=\"zip-code\" type=\"text\" required\n                            data-pristine-required-message=\"Please enter your ZIP code\"\n                            data-pristine-pattern-message=\"Please enter a valid ZIP code\"\n                            data-pristine-pattern=\"\/^\\d{5}(-\\d{4})?$\/i\">\n                        <\/div>\n\n                        <div class=\"form-item\"><\/div>\n                    <\/div>\n\n                    <div class=\"form-item check-item\">\n                        <input type=\"checkbox\" id=\"rep-contact-me\" name=\"rep_contact_me\">\n                        <label for=\"rep-contact-me\">I\u2019d like a BioMarin representative to contact me.<br><small><em>A representative will reach out to you shortly.<\/em><\/small><\/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=\"https:\/\/medinfoterms.com\/\" 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 Palynziq; 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=\"Submit\">\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=\"https:\/\/hcp.biomarin.com\/en-us\/palynziq\">Return to homepage<\/a>\n                <\/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":""},"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v23.1 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Sign up &amp; Connect | Palynziq HCP<\/title>\n<meta name=\"description\" content=\"Tell us if you would like to request an in-office or virtual 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