Tysabri Registration

*Note: You must have your infusion site's TOUCH ID. Once your account information has been submitted, you will immediately be granted access. All fields marked with a red asterisk are required. Registration make take several seconds. Once you click the Register button, please wait until the system responds.

TOUCH ID

First Name:

Enter a first name.

Last Name:

Enter a last name.

Email Address:

Enter a valid email address.

User Name:

Enter a user name. It must be at least five characters long, must be an alphanumeric value, must not start/end with a space, and must not contain any of these characters !"#$%&'()*+,/:;<=>?@[\]^`{|}

Password:

Enter your password.

Confirm Password:

Re-enter the password to confirm.

Security Code:

Enter the security code

Enter the code shown above in the box below.

TYSABRI® Registration

TYSABRI^®Registration