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Reminder: This feature is intended for US healthcare professionals only.

Please complete the form below if you would like a Genentech representative to contact you regarding your Activase® (alteplase) information request. You should receive a response within 2 business days.

Your contact information will not be used for any other purpose than for the representative to respond to your information request.

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By checking the box above, you agree to allow Genentech and its agents to collect the information provided and to be contacted by Genentech and its agents in the future regarding Activase products, and related disease education.

By submitting this form, you agree to allow Genentech and its agents to collect the information provided and to be contacted directly by a Genentech sales representative. Your information will not be used for any other purpose than for a representative to respond to your information request, or for us to send you other Genentech Activase updates if you have registered to receive them.

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Thank you for contacting us about Activase® (alteplase).

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