Patient Enrollment Form

Prescriber Enrollment Form - Thank You Page

Prescriber Enrollment Form

Patients & Caregivers - Thank You Page

Patients & Caregivers

2 Patient Enrollment

OPTION 1

If you begin patient enrollment online, your patient will receive an e-mail to complete their portions of the form, including an e-signature. Then, you will electronically submit the form to the XYWAV and XYREM REMS. Both you and your patient will…

XYREM Patient Quick Start Guide

XYWAV Brochure for Pediatric Patients and Their Caregivers

XYREM Brochure for Pediatric Patients and Their Caregivers

XYWAV Prescription Form