Terms & Conditions for registration

StratifyJCV testing service, fully funded by Biogen for patients who are considering or prescribed TYSABRI. StratifyJCV is validated for use with TYSARI. It allows for individualized PML risk mitigation by using anti-JCV antibody index levels and its evidence based PML risk algorithm. The PML risk estimate algorithm was developed using data from TYSABRI clinical trials and post-marketing data. Biogen has no clinical data on the PML risk associated with products other than TYSABRI. Specific questions about the JCV testing for the biosimilar natalizumab IV are best answered by your contact at the biosimilar company.

I hereby confirm that I am an HCP (healthcare professional) and I understand that these services are funded by Biogen for the testing of patients on / considering TYSABRI .

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Site information

HCP Information

Title

First name

Last name

Phone

Confirm email

Contact person

Title

First name

Last name

Phone

Confirm email

Location address

Name of Hospital / Clinic / Private practice

Department

Address Line 1

Address Line 2

Post Code

City

Country

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Additional addresses and contacts

Delivery Address

This information is essential for the courier when delivering sampling material sets. Edit the address if necessary.

Same as location address

Hospital / Clinic / Private practice
Department
Address Line 1
Address Line 2
Post code
City
Country

Delivery contact person

It is essential for the courier to have a contact person when delivering the sampling material sets. Edit the contact person if needed.

Same as contact person

Title and Name
Phone

Sample Pick-up address

This information is essential for the courier when picking up samples. Edit the address if necessary.

Same as location address

Hospital / Clinic / Private practice
Department
Address Line 1
Address Line 2
Post code
City
Country

Sample Pick-up contact person

It is essential for the courier to have a contact person when picking up the samples. Edit the contact person if needed.

Same as contact person

Title and Name
Phone

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Step 3 of 3

Verify your registration

HCP ADDRESS Edit

Hospital / Clinic / Private practice
Department
Address Line 1
Address Line 2
Post code
City
Country

Delivery Address Edit

Hospital / Clinic / Private practice
Department
Address Line 1
Address Line 2
Post code
City
Country

Delivery contact person Edit

Title and Name
Phone

HCP Edit

Title and Name
Phone
Email

Contact person Edit

Title and Name
Phone
Email

Sample Pick-up address Edit

Hospital / Clinic / Private practice
Department
Address Line 1
Address Line 2
Post code
City
Country

Sample pick-up contact Edit

Title and Name
Phone

Terms & Conditions for registration

Register a new account

Step 1 of 3

Site information

HCP Information

Contact person

Location address

Register a new account

Step 2 of 3

Additional addresses and contacts

Delivery Address

Delivery contact person

Sample Pick-up address

Sample Pick-up contact person

Register a new account

Step 3 of 3

Verify your registration

HCP ADDRESS Edit

Delivery Address Edit

Delivery contact person Edit

HCP Edit

Contact person Edit

Sample Pick-up address Edit

Sample pick-up contact Edit

Register new user

Thank you for
your registration

Terms & Conditions for registration

Register a new account

Step 1 of 3

Site information

HCP Information

Contact person

Location address

Register a new account

Step 2 of 3

Additional addresses and contacts

Delivery Address

Delivery contact person

Sample Pick-up address

Sample Pick-up contact person

Register a new account

Step 3 of 3

Verify your registration

HCP ADDRESS Edit

Delivery Address Edit

Delivery contact person Edit

HCP Edit

Contact person Edit

Sample Pick-up address Edit

Sample pick-up contact Edit

Register new user

Thank you for your registration

Thank you for
your registration