This form is intended for U.S. healthcare professionals only.

Enrolling in the regional care center directory

Thank you for choosing to enroll in the regional care center directory. If you are familiar with the diagnosis and management of FOP and would like to be included in the directory, please fill in the form to register.
 


Note: We require all registering physicians to have completed the SOHONOS (palovarotene) Educational Program in order to be included in the directory. It is strongly recommended that other physicians in your practice complete the program. You can access the educational materials here.

SOHONOS™ is indicated for the reduction in volume of new heterotopic ossification in adults and pediatric patients aged 8 years and older for females and 10 years and older for males with fibrodysplasia ossificans progressiva (FOP).

Please see the Important Safety Information at the end of this form and link to the full Prescribing Information including BOXED WARNING for Embryo-Fetal Toxicity and Premature Epiphyseal Closure in Growing Pediatric Patients here.

This form may be submitted prior to completing the Educational Program; however, physicians will not be included until completion of the program is confirmed. Reminder emails will be sent to any registering physicians who have not yet completed the program.

Your details

*required fields

Please tick the box below if you have completed the mandatory SOHONOS Educational Program.

Your institution

Please tick the box below to confirm that you have permission to register this practice/institution for the directory

Would you like to add any additional physicians from your institution?*

Details of any additional registrants

*required fields

Please tick the box below if this registrant has completed the mandatory SOHONOS Educational Program

Please tick the box below to confirm that you have permission to submit this registrant's details and that they have agreed to have their details included in the directory

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