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Web Request Form

By completing this form and clicking the send button, you understand and hereby consent to your personal information being stored on a database in the United States and accessible to BioMarin’s global medical team for purposes including responding to your request, ensuring quality control, fulfilling compliance/transparency reporting obligations including recording transfer of value, and assisting with access to products and services including clinical trial recruitment.

You may also complete and submit the form below to request access to, removal of, or correction of your personal information. The full BioMarin privacy policy is accessible at: https://www.biomarin.com/privacy.

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BioMarin

Diseases

Lysosomal Storage Disorders (MPS I, MPS IVA, MPS VI, CLN2 disease) PKU, LEMS

Products

PALYNZIQ
Brineura
Vimizim®
Kuvan®
Naglazyme®
Aldurazyme®
Firdapse®

Patient/Physician Support Contact Information

BioMarin RareConnections
Tel: 866.906.6100
Fax: 888.863.3361
E-mail: support@biomarin-rareconnections.com

Global Medical Information

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