Fill out this short questionnaire to sign up to receive the latest information about ENSPRYNG, NMOSD, and other resources.

If you have a prescription for ENSPRYNG, you'll also be able to request at-home injection training for you or your caregiver.

All fields are required unless marked optional.




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I wish to receive information that may be of interest to me from Genentech and its affiliates about products, services, including co-pay assistance or other patient support, opportunities to participate in surveys or provide feedback, or other topics (including information about diseases or conditions). I may be contacted by phone, mail or email using the information I've provided. By asking to receive this information, I understand my personally identifiable information will be used and disclosed by Genentech, its successors, its agents, and as otherwise required by law. I understand providing this agreement is voluntary and plays no role in getting my medicine. I also understand that I may opt out of receiving this information at any time by calling 877-436-3683.

By submitting the information on this form, you agree that it will be governed by Genentech's Privacy Policy. California residents: A description of the personal information collected by Genentech and your rights under the California Consumer Privacy Act concerning your personal information can be found at this link.

Thank you for signing up

Get ready to receive information about ENSPRYNG and NMOSD. If you opted to schedule injection training, be on the lookout for a call from an ENSPRYNG representative.