Genetic test request form

Do you recall seeing patients with uncertain muscular weakness in recent months?
Do you take into consideration SMA in these cases?
Would you like to request a free Genetic Test to diagnose SMA?

Please fill out the fields to request the Genetic test


You can find more information about the processing of your personal data by visiting Privacy Policy and clicking on “Healthcare Professionals Privacy Notice”. 

*Your request for a genetic test will not guarantee that it will be provided. A Biogen representative will contact you to evaluate if a genetic test is the right course of action.

Thank you!

In case of SMA suspicion, you can request the genetic test anytime.