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Register for Hizentra information and patient resources

Please complete the form below to request a welcome kit, replacement materials, informational emails, and other resources and support.

If you have a medical question, consult with a healthcare professional.

In the case of an emergency, call 911.

First, let’s see what programs are relevant for you:

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Are you currently (or about to start) self-administering Hizentra?

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You will automatically be registered for:

IgIQ® Nurse Educator Support Program This program offers telephone support from a CSL Behring IgIQ® nurse who will help you throughout your medication journey.

Informational emails about Hizentra These periodic emails will provide information to help you get the most benefit from your Hizentra therapy.

In addition to emails with information about Hizentra, what would you like to sign up for?

Contact information

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Doctor's name

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Doctor's office location

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CSL Behring respects your privacy. For an explanation of how CSL Behring will use the information you are submitting, please view our Privacy Policy. If you chose to provide information about your physician, CSL Behring will not contact your physician regarding you or your treatment.

By submitting this form you are consenting to receive an email response with relevant information from CSL Behring. You may also receive relevant information from CSL Behring by mail or by email in the future. You will have the ability to opt out from receiving CSL Behring emails or mailing at any time. If you chose to provide CSL Behring with a telephone number, CSL Behring may contact you by telephone and/or SMS text message to provide information or to offer enrollment in educational programs and programs intended to benefit Hizentra patients. You will have the ability to opt out from receiving telephone calls or text messages from CSL Behring. In some cases, CSL Behring uses third parties under contract with CSL Behring to administer our educational and patient benefit programs. When contacting you on behalf of CSL Behring about these programs, these third parties will have access to your email address, address, and/or phone number. Like CSL Behring, these third parties will not rent, sell, publicly host or share your personal information.

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