My ITP Life Patient Support Program Registration

Want to learn more about immune thrombocytopenia (ITP)? Enroll in the My ITP Life Patient Support Program and receive a series of e-mails, interactive tools, and other resources designed to help you

  • Manage the challenges of living with a chronic disease
  • Find answers to your questions about ITP
  • Feel more comfortable asking for support from friends and family
  • Improve conversations with your health care team
  • Determine what is most important to you in a treatment for ITP

Enrollment is simple

Please complete the questions below to confirm your program enrollment.

 

  1. 1/2:Enter Your Information
  2. 2/2:Review and Submit
*Required field.
 

 

Responses to the following will help us to customize our communications to you.

 

1. How long ago did you first start experiencing symptoms of ITP (eg, bruising, bleeding, petechiae)? *

2. What medications does your doctor currently prescribe to treat your ITP (select all that apply)? *

3. How familiar are you with the use of steroids as a treatment for ITP? *

4. How familiar are you with the use of infusion as a treatment for ITP? *

5. How familiar are you with the use of oral thrombopoietin (TPO) receptor agonist as a treatment for ITP? *

6. How familiar are you with the use of injectable thrombopoietin (TPO) receptor agonist as a treatment for ITP? *

7. Currently, how likely are you to consider other therapies to treat your ITP? *

8. How confident are you in your ability to have a conversation with your doctor about treatment options? *

Please complete all required fields.