If you have UC, you could be living life with your symptoms in control. Enroll now and learn how.

Just because you have ulcerative colitis (UC) doesn't mean you have to live with its symptoms.
It really is possible to live with your symptoms in control.

Join the UC support program now and you'll immediately receive an informative article by
Dr  Stephen B. Hanauer about a once-daily UC treatment.

You'll also receive regular communications tailored to your individual needs.

You don't have to let UC symptoms control your day. Don't miss out on this important program. Enroll now!

Contact Information (All questions marked with an "*" are required)

*First Name  
*Last Name  
*E-mail address  
*Retype e-mail address  
*Street Address–Line 1  
Street Address–Line 2 (Optional)  
*City  
*State  
*5-Digit zip code  

Condition Information

*Have you or someone you care for been diagnosed with ulcerative colitis (UC)?
Yes      No

*What is your relationship to the person with UC?

When were you diagnosed with UC?

How would you rate the severity of your UC?    

*Which of the following do you currently use to treat your UC? (please check all that apply)
Asacol® (mesalamine)
Colazal® (balsalazide disodium)
Lialda™ (mesalamine)
PENTASA® (mesalamine)
Remicade® (infliximab)
Immunomodulators (eg, 6-MP, azathioprine)
Not sure
Other
No medication

Prior to Taking Lialda, what medication were you using to treat your UC?

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I am interested in participating in UC patient market research and would like to be contacted further by Shire or its third parties.

YES, I am ready to take another step toward managing my ulcerative colitis (UC). Please enroll me in the My Road to UC Remission Support Program and begin sending me helpful information. I understand the personal and medical information I have provided will be kept confidential and will not be shared with any third parties other than Shire, McKesson, and its other designated partners. This consent will be in effect until such time as I opt out of the program.
*You must confirm your acceptance of the above Shire policy in order to join the My Road to UC Remission Support Program

In order to provide you with information to help you manage your UC symptoms, please answer a few additional questions below. While these questions are optional, they will provide you with a more tailored support program. The personal and medical information you have provided will be kept confidential and will not be shared with any third parties other than Shire and its designated partners.

Click Here to answer these additional questions




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