Share your story with TARPEYO
Personal stories can be a powerful tool in helping others within the community. Finding the right treatment for you can be challenging. Tell us a little bit about yourself and how you are taking charge with TARPEYO.
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Location
City, State
Age
*
When were you prescribed TARPEYO?
Less than 3 months ago
3-6 months ago
More than 6 months ago
What led you and your doctor to pursue treatment with TARPEYO? (Please select all that apply)
My doctor told me about TARPEYO
I asked my doctor about TARPEYO
I received an advertisement for TARPEYO
Family/Friend/Co-worker told me about TARPEYO
Other
To date, how satisfied have you been with your experience with TARPEYO? (0 being unsatisfied, 10 being extremely satisfied)
I give Calliditas Therapeutics US Inc. (Calliditas), and its agents and employees the irrevocable and unrestricted right to use any of the information in this submitted document for the purposes of publication, promotion, advertising, or trade, in any medium. I agree that all materials shall remain the property of Calliditas. I hereby release Calliditas and its agents and employees from all claims, damages and liabilities arising out of or in connection with the use or distribution of said finished products. I grant permission to use my statements, with or without my name, for the purpose of advertising and publicity without restriction. I waive any right to inspect or approve any finished products and to any compensation. By clicking yes I hereby warrant that I am over the age of 18 and have read and understood the contents of this authorization and release.
*
Yes
No
I am interested in participating in additional opportunities to share my experience while taking TARPEYO. By checking yes, I grant permission to Calliditas Therapeutics US Inc. (Calliditas), and its agents and employees to reach out to me directly with more information.
*
Yes
No
Submit
TARPEYO is a registered trademark of Calliditas Therapeutics AB, or its affiliates. © Calliditas Therapeutics AB All rights reserved. 12/22 US-TAR-2200154
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