{"id":11948,"date":"2026-02-04T17:03:50","date_gmt":"2026-02-04T17:03:50","guid":{"rendered":"https:\/\/palynziqpatient-prod-001.azurewebsites.net\/en-us\/?page_id=11948"},"modified":"2026-03-16T15:12:34","modified_gmt":"2026-03-16T15:12:34","slug":"connect-with-us","status":"publish","type":"page","link":"https:\/\/palynziq.biomarin.com\/en-us\/connect-with-us\/","title":{"rendered":"Stay Connected"},"content":{"rendered":"<div id=\"acf-block-69837bf648490\" class=\"block patient-sign-up-form block-zero-top\">\n    <div class=\"wrapper\">\n        <div class=\"inner-wrapper\">\n            <div class=\"above-form-copy\">\n                                    <h1>Stay Connected\n<\/h1>\n                                                    <p>To get started, select the type of support you\u2019re looking for, and fill out the info below.<\/p>\n                            <\/div>\n\n            <div class=\"block\">\n                <form id=\"patient-sign-up\" name=\"Sign Up to Stay in the Know!\" data-success=\"https:\/\/palynziq.biomarin.com\/en-us\/thank-you\/ \">\n                    <div class=\"form-main-content\">\n                        <div class=\"form-columns\">\n                            <div class=\"form-item form-box form-card\">\n                                <div class=\"large-checkbox-header large-checkbox-header-email\">\n                                    <div class=\"icon\"><\/div>\n                                    <input type=\"checkbox\" name=\"send-me-email\" id=\"send-me-email\" checked disabled>\n                                <\/div>\n                                <label for=\"send-me-email\">Send me emails with the latest information about PALYNZIQ.<\/label>\n                            <\/div>\n                            <div class=\"form-item form-box form-card\">\n                                <div class=\"large-checkbox-header large-checkbox-header-rep\">\n                                    <div class=\"icon\"><\/div>\n                                    <input type=\"checkbox\" name=\"rep-contact-me\" id=\"rep-contact-me\">\n                                <\/div>\n                                <label for=\"rep-contact-me\">Connect me with a BioMarin representative to help me learn more about treatment.<\/label>\n                            <\/div>\n                        <\/div>\n\n                        <div class=\"form-item\">\n                            <legend class=\"neg-indent\"><span class=\"required\">*<\/span>Required fields.<\/legend>\n                        <\/div>\n\n                        <div class=\"form-item\">\n                            <legend>What best describes you?<span class=\"required\">*<\/span><\/legend>\n                            <label for=\"patient\" class=\"radio-label\"><input type=\"radio\" id=\"patient\" name=\"contact-type\" value=\"patient\" required> I have PKU<\/label>\n\n                            <label for=\"caregiver\" class=\"radio-label\"><input type=\"radio\" id=\"caregiver\" name=\"contact-type\" value=\"caregiver\" required data-pristine-required-message=\"Please select a description.\"> I support someone with PKU<\/label>\n                        <\/div>\n\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-item\">\n                            <label for=\"email\">Email address<span class=\"required\">*<\/span><\/label>\n                            <input class=\"text\" id=\"email\" type=\"email\" placeholder=\"email@domain.com\" required\n                            data-pristine-required-message=\"Please enter your email address.\">\n                        <\/div>\n\n                        <div class=\"form-item\">\n                            <label for=\"dob\">Date of birth of the person with PKU<span class=\"required\">*<\/span><\/label>\n                            <input class=\"text\" id=\"dob\" type=\"text\" placeholder=\"mm\/dd\/yyyy\" required\n                            data-pristine-required-message=\"Please enter your date of birth.\">\n                        <\/div>\n\n                        <div class=\"form-columns\">\n                            <div class=\"form-item\">\n                                <label for=\"phone-number\">Phone number<span class=\"required\">*<\/span><\/label>\n                                <input class=\"text\" id=\"phone-number\" type=\"tel\" required \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})$\/\">\n                            <\/div>\n\n                            <div class=\"form-item\">\n                                <label for=\"zip-code\">ZIP code<span class=\"required\">*<\/span><\/label>\n                                <input class=\"text\" id=\"zip-code\" type=\"number\" inputmode=\"decimal\" required\n                                data-pristine-required-message=\"Please enter your ZIP code.\"\n                                data-pristine-pattern-message=\"Please enter a valid ZIP code.\"\n                                data-pristine-pattern=\"\/^\\d{5}(-\\d{4})?$\/i\">\n                            <\/div>\n                        <\/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\n                            <label for=\"accept-ts-cs\">By checking this box and clicking SUBMIT below, I confirm I am least 18 years old; confirm I agree to <a href=\"https:\/\/www.biomarin.com\/data-privacy-center\/\" target=\"_blank\">BioMarin&#8217;s Privacy Policy and CCPA Notice<\/a> and <a href=\"https:\/\/www.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 and\/or phone number I have provided, including via use of an automatic telephone dialing system, to keep me informed about news and developments, market research or surveys, or other opportunities that may be of interest to me; confirm I understand these communications\/materials may contain information that markets or advertises BioMarin products, goods, or services; confirm I understand I am not required to provide my consent as a condition of purchasing or renting and products, goods, or services; and confirm I understand I may opt out of receiving such communications in the future via links in them.<\/label>\n                        <\/div>\n\n                        <div class=\"form-item center\">\n                            <div class=\"button-container\">\n                                <input type=\"submit\" class=\"button button-arrow\" value=\"Submit\">\n                                <div class=\"arrow\"><\/div>\n                            <\/div>\n                        <\/div>\n                    <\/div>\n                <\/form>\n                <form id=\"mktoForm_3470\" style=\"display:none;\"><\/form>\n            <\/div>\n        <\/div>\n    <\/div>\n<\/div>","protected":false},"excerpt":{"rendered":"","protected":false},"author":5,"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-11948","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.7 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Stay Connected - BioMarin Palynziq Patient EN-US<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" 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