Thank you!

You have successfully initiated your Patient Enrollment Form processing. The remainder of the process will be completed via email through DocuSign.

Remind your patient to check their email for a message from DocuSign to complete the enrollment process. When the Patient has signed the form, the Prescriber will receive an email from DocuSign for completion.

Please do not re-submit this form. The XYWAV and XYREM REMS will contact you when your form has been processed.