Capturing a clearer picture of your health and sickle cell disease. Complete the sections below to register as a Sanius member First Name Last Name Email Address Phone Number Are you currently on any of the following prescribed medicine for your condition? (Select all that apply) Oxbryta® (voxelotor)ADAKVEO® (crizanlizumab-tmca)Hydroxyurea Are you a patient from the London North West University Healthcare NHS Trust? —Please choose an option—YesNo I AGREE THE SANIUS HEALTH PLATFORM TERMS OF USE Confirm I AGREE TO THE TERMS OF THE PRIVACY POLICY Confirm I understand that the information provided in this form will be used to complete a Subject Access Request Application to obtain GP and hospital data Confirm By submitting your application, you will be registered as a patient at Sanius and our patient relationship manager will be in touch shortly. Capturing a clearer picture of your health and sickle cell disease. Complete the sections below to register as a Sanius member First Name Last Name Email Address Phone Number Are you currently on any of the following prescribed medicine for your condition? (Select all that apply) Oxbryta® (voxelotor)ADAKVEO® (crizanlizumab-tmca)Hydroxyurea Are you a patient from the London North West University Healthcare NHS Trust? —Please choose an option—YesNo I AGREE THE SANIUS HEALTH PLATFORM TERMS OF USE Confirm I AGREE TO THE TERMS OF THE PRIVACY POLICY Confirm I understand that the information provided in this form will be used to complete a Subject Access Request Application to obtain GP and hospital data Confirm By submitting your application, you will be registered as a patient at Sanius and our patient relationship manager will be in touch shortly.