{"id":6674,"date":"2023-10-12T23:13:10","date_gmt":"2023-10-12T23:13:10","guid":{"rendered":"https:\/\/palynziq.biomarin.com\/en-us\/?page_id=6674"},"modified":"2026-02-04T11:51:36","modified_gmt":"2026-02-04T11:51:36","slug":"connect-with-us","status":"publish","type":"page","link":"https:\/\/palynziq.biomarin.com\/en-us\/connect-with-us\/","title":{"rendered":"Connect with us"},"content":{"rendered":"<div id=\"acf-block-656898de1176e\" class=\"block patient-sign-up-form\">\n    <div class=\"wrapper\">\n        <div class=\"inner-wrapper\">\n            <div class=\"above-form-copy\">\n                                    <h2>Connect with us\n<\/h2>\n                                                    <p>Please complete the form below to receive the latest information about PALYNZIQ\u00ae (pegvaliase-pqpz) Injection.<\/p>\n<p>* Required fields.<\/p>\n                            <\/div>\n\n            <div class=\"block form-box\">\n                <form id=\"patient-sign-up\" name=\"Sign Up to Stay in the Know!\" data-success=\" \">\n                    <div class=\"form-main-content\">\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-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\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, I confirm I am at least 18 years old; and 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>. I consent to BioMarin providing my contact information (email address and\/or phone number) above to BioMarin&#8217;s mentor program partner, such that the partner can contact and enroll me into the PALYNZIQ Peer Connect Program. I understand that once enrolled, BioMarin&#8217;s partner will share any personal information I&#8217;ve provided to them with BioMarin. I consent to receive more information about PALYNZIQ and be connected with a local representative to learn more about PALYNZIQ, including marketing communications.<\/label>\n                        <\/div>\n\n                        <div class=\"form-item center\">\n                            <input type=\"submit\" class=\"button\" value=\"Submit\">\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":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":""},"class_list":["post-6674","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.1.1 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Connect with us - 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\" href=\"https:\/\/palynziq.biomarin.com\/en-us\/connect-with-us\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Connect with us - BioMarin Palynziq Patient EN-US\" \/>\n<meta property=\"og:url\" content=\"https:\/\/palynziq.biomarin.com\/en-us\/connect-with-us\/\" \/>\n<meta property=\"og:site_name\" content=\"BioMarin Palynziq Patient EN-US\" \/>\n<meta property=\"article:modified_time\" content=\"2026-02-04T11:51:36+00:00\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/palynziq.biomarin.com\/en-us\/connect-with-us\/\",\"url\":\"https:\/\/palynziq.biomarin.com\/en-us\/connect-with-us\/\",\"name\":\"Connect with us - BioMarin Palynziq Patient EN-US\",\"isPartOf\":{\"@id\":\"https:\/\/palynziq.biomarin.com\/en-us\/#website\"},\"datePublished\":\"2023-10-12T23:13:10+00:00\",\"dateModified\":\"2026-02-04T11:51:36+00:00\",\"breadcrumb\":{\"@id\":\"https:\/\/palynziq.biomarin.com\/en-us\/connect-with-us\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/palynziq.biomarin.com\/en-us\/connect-with-us\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/palynziq.biomarin.com\/en-us\/connect-with-us\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/palynziq.biomarin.com\/en-us\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Connect with us\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/palynziq.biomarin.com\/en-us\/#website\",\"url\":\"https:\/\/palynziq.biomarin.com\/en-us\/\",\"name\":\"BioMarin Palynziq Patient EN-US\",\"description\":\"\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/palynziq.biomarin.com\/en-us\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Connect with us - BioMarin Palynziq Patient EN-US","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/palynziq.biomarin.com\/en-us\/connect-with-us\/","og_locale":"en_US","og_type":"article","og_title":"Connect with us - BioMarin Palynziq Patient EN-US","og_url":"https:\/\/palynziq.biomarin.com\/en-us\/connect-with-us\/","og_site_name":"BioMarin Palynziq Patient EN-US","article_modified_time":"2026-02-04T11:51:36+00:00","twitter_card":"summary_large_image","schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/palynziq.biomarin.com\/en-us\/connect-with-us\/","url":"https:\/\/palynziq.biomarin.com\/en-us\/connect-with-us\/","name":"Connect with us - BioMarin Palynziq Patient EN-US","isPartOf":{"@id":"https:\/\/palynziq.biomarin.com\/en-us\/#website"},"datePublished":"2023-10-12T23:13:10+00:00","dateModified":"2026-02-04T11:51:36+00:00","breadcrumb":{"@id":"https:\/\/palynziq.biomarin.com\/en-us\/connect-with-us\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/palynziq.biomarin.com\/en-us\/connect-with-us\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/palynziq.biomarin.com\/en-us\/connect-with-us\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/palynziq.biomarin.com\/en-us\/"},{"@type":"ListItem","position":2,"name":"Connect with us"}]},{"@type":"WebSite","@id":"https:\/\/palynziq.biomarin.com\/en-us\/#website","url":"https:\/\/palynziq.biomarin.com\/en-us\/","name":"BioMarin Palynziq Patient EN-US","description":"","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/palynziq.biomarin.com\/en-us\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-US"}]}},"_links":{"self":[{"href":"https:\/\/palynziq.biomarin.com\/en-us\/wp-json\/wp\/v2\/pages\/6674","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/palynziq.biomarin.com\/en-us\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/palynziq.biomarin.com\/en-us\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/palynziq.biomarin.com\/en-us\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/palynziq.biomarin.com\/en-us\/wp-json\/wp\/v2\/comments?post=6674"}],"version-history":[{"count":11,"href":"https:\/\/palynziq.biomarin.com\/en-us\/wp-json\/wp\/v2\/pages\/6674\/revisions"}],"predecessor-version":[{"id":10651,"href":"https:\/\/palynziq.biomarin.com\/en-us\/wp-json\/wp\/v2\/pages\/6674\/revisions\/10651"}],"wp:attachment":[{"href":"https:\/\/palynziq.biomarin.com\/en-us\/wp-json\/wp\/v2\/media?parent=6674"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}