There to share

XYREM Patient Connection Mentor Program

Sometimes talking to or hearing from someone who has had similar experiences can be incredibly helpful. The XYREM Patient Connection Mentor Program gives you the opportunity to speak with someone like you about XYREM treatment and about living with their symptoms of narcolepsy: excessive daytime sleepiness (EDS) and cataplexy.

Meet our mentors

These dedicated men and women want to help others like you by sharing their personal stories, sharing their knowledge, and offering support.

Bobbi Jo
You shouldn't have to feel alone.
EDS in Narcolepsy
  • EDS & Cataplexy in Narcolepsy
  • Making connections

    Mentors live across the country, so depending on their location and schedule, it may take a couple of days to arrange your call. As soon as you are matched with a Patient Connection Mentor, you will receive an email or phone call that will tell you when your conversation will take place.

    Before your call, you’ll receive a reminder email, and afterwards, you’ll receive a short email survey to find out how it went. You can have up to 3 calls with the Mentor.

    Please be aware that your identity is confidential, but the Mentor is obligated to report any adverse events (side effects of XYREM) that you may mention during the call. The Jazz Pharmaceuticals Drug Safety Department may follow up with you to get the specific information.

    The Mentor will only speak from personal experience and will refer you back to your physician or other resources for additional information. Important Safety Information will also be reviewed during your call.

    Register

    Please fill out the form below (*required)

    When would you like your Mentor to call you?

    Please provide 3 dates and call-time ranges that you are available for a call*:
    Preferred call Time #1
    I am available for a call on:
    between
    Preferred call Time #2
    I am available for a call on:
    between
    Preferred call Time #3
    I am available for a call on:
    between

    Mentor and Contact Preferences

    * How would you like to be contacted regarding the program logistics and your Mentor call?
    The Mentor will call you on the number you provide below. Please indicate in the dropdown below if you would like to keep your phone number private. A conference line will be set up for you and the Mentor.

    I prefer a

    mentor

    between the ages of

    who speaks

    What topics would you like to discuss with a Mentor?

    Topics you want to talk about in relation to your EDS and/or cataplexy associated with narcolepsy (check all that apply):
    Jazz Pharmaceuticals respects your interest in keeping your personal information private. The personal information you provide will be used by Jazz Pharmaceuticals and the third parties working with Jazz Pharmaceuticals to register you in the Patient Mentor Program. We will not sell or rent your personal information to any third party.
    For more information about how Jazz Pharmaceuticals uses and protects your personal information, please click here to view our Privacy Policy.
    If in the future you no longer want to participate in the Patient Mentor program, please call us at 1-888-200-1128.
    For any questions or to register via phone, call 1-888-200-1128

    Thank you for your interest in the Patient Connection Mentor Program.

    As soon as you are matched with a Patient Connection Mentor, you will receive an email or phone call that will tell you when your conversation will take place.
    If you have any questions, please do not hesitate to call us at
    1-888-200-1128