Invite a Friend | Factor My Way

###google_registration_done###

###survey_hearaboutfmw###

###diagnosed_bleedingdisorder###

###frequency_bleedingepisode###

###type_vwd###

###severity_hema###

###member_copayapplicationsourc###

###member_copayid###

###member_copaystatus2021###

###member_copaystatus2022###

###member_copaystatus2023###

###member_copaystatus2024###

###patient1_disorder_type###

###patient1_treatment_status###

###patient_firstname###

###patient_lastname###

###patient_dob###

###patient1_copaybrand###

###patient1_copayapplicationsourc###

###patient1_copayid###

###patient1_copaystatus2021###

###patient1_copaystatus2022###

###patient1_copaystatus2023###

###patient1_copaystatus2024###

###patient2_disorder_type###

###patient2_treatment_status###

###patient2_firstname###

###patient2_lastname###

###patient2_dob###

###patient2_copaybrand###

###patient2_copayapplicationsourc###

###patient2_copayid###

###patient2_copaystatus2021###

###patient2_copaystatus2022###

###patient2_copaystatus2023###

###patient2_copaystatus2024###

###patient3_disorder_type###

###patient3_treatment_status###

###patient3_firstname###

###patient3_lastname###

###patient3_dob###

###patient3_copaybrand###

###patient3_copayapplicationsourc###

###patient3_copayid###

###patient3_copaystatus2021###

###patient3_copaystatus2022###

###patient3_copaystatus2023###

###patient3_copaystatus2024###

###patient4_disorder_type###

###patient4_treatment_status###

###patient4_firstname###

###patient4_lastname###

###patient4_dob###

###patient4_copaybrand###

###patient4_copayapplicationsourc###

###patient4_copayid###

###patient4_copaystatus2021###

###patient4_copaystatus2022###

###patient4_copaystatus2023###

###patient4_copaystatus2024###

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The contact information you provide is used only to facilitate the communication requested. Octapharma respects individual privacy and values the trust of our customers and our Factor My Way participants. For more information about Octapharma's privacy practices, please see our Data Privacy Statement.

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Good for you!Good for the bleeding disorders community!

Good for you!
Good for the bleeding disorders community!