Sign up for sickle cell disease updates

Please complete the form below for more information about sickle cell disease, including upcoming events and resources. You can also connect with an Agios Clinical Educator (ACE) for one-on-one disease education and support. THIS IS FOR US RESIDENTS ONLY.

Are you a US resident?*YesNo

First Name*

Last Name*

Email Address*

Zip Code* (For US Residents Only)

Tell us about yourself*:I am living with sickle cell diseaseI am a caregiver of (or support) someone living with sickle cell diseaseOther

I am (or the person I care for is) currently taking prescription medication(s) to treat sickle cell disease (excluding pain medications, vitamins, etc).YesNo

I would like an Agios representative to share information about sickle cell disease with the US-based physician or healthcare professional who treats sickle cell disease for me or the person I care for.YesNo

By clicking “SUBMIT,” I agree to (you must choose at least one):

One-on-one conversations about sickle cell disease with an Agios Clinical Educator (“ACE”) or Patient Support Manager (“PSM”), in person or by phone

By selecting, “one-on-one conversations” I consent that Agios and its agents (ACE/PSM) will contact me via email or at the number I provided above (Phone/SMS/Text^†) and send me information about sickle cell disease, or answer my questions about living with sickle cell disease
I attest that I am eligible to participate in this program:

I have been diagnosed with sickle cell disease or I am a caregiver/advocate for a person diagnosed with sickle cell disease
I understand I will receive educational information about sickle cell disease, opportunities to join research, or other updates from Agios
I am at least 18 years old and a U.S. resident

Receive communication about sickle cell disease via email

Agios understands protecting your personally identifiable information is very important. Agios does not share personally identifiable information you share with us during our phone, SMS/Text, or email communications with third parties other than Agios’ vendors who perform services on Agios’ behalf.

Consent to Receive Communications

^†If I select the “one-on-one conversations” checkbox above, I consent to receive text messages and/or phone calls, respectively, from Agios (or those acting on its behalf) for marketing, operational and informational purposes, such as support and educational resources on sickle cell disease as well as research opportunities, and other information that may be of interest to me. Text messages and phone calls may be generated using automated technology and will be made to the phone number provided on this form. I may opt out of text messages at any time by replying “STOP” to the number from which I received the text message. I can also unsubscribe from phone calls and text messages by calling 1-877-77-AGIOS (1-877-772-4467), and I can unsubscribe from promotional e-mails by clicking “unsubscribe” in one of Agios’ promotional e-mails.

By clicking “SUBMIT,” I agree to the electronic signature terms and conditions presented in the Agreement to Receive Disclosures and Consent Electronically. I understand and agree that the information I provide will be used in accordance with the Agios Privacy Policy, including to provide me with marketing information, offers, and promotions, and to contact me for my opinions regarding Agios products, programs, and services.

Connect with us to learn more about sickle cell disease