First Name:
Last Name:
Email:
Which of the following best describes you?*
I am caring for a child or adult with Dravet syndrome
I am a family member or friend of a child or adult with Dravet syndrome
I understand that by submitting my information, I will receive news and updates about Zogenix, Inc. and its products, clinical trials, research opportunities, programs,and other information that may be of interest to me. For more information on Zogenix’s Privacy Policy visit
www.zogenix.com/privacy-policy
.
*