Cure SMA Treatment Site Listing

We invite you to update or add your listing to the Cure SMA Find a Treatment Center website. The page is designed to help patients with SMA locate treatment and medical care within their region. This survey will take approximately 5 minutes to complete. If you have questions or encounter any issues when attempting to complete the survey, please email patientcare@curesma.org.

1. Center Name: *This question is required.

2. Center Phone Number:
For SMA specific inquiries and appointment scheduling *This question is required.

3. Center Website Address:
If unavailable please include N/A within the field *This question is required.

4. Center Address *This question is required.

Street address:
Please refrain from using abbreviations to ensure that the address provided is correctly populated on the website. *This question is required.

City: *This question is required.

State: *This question is required.

Zip code: *This question is required. This question requires a valid number format.

5. Is your center designated by your state public health lab to receive referrals for SMA newborn screen positive infants? *This question is required.

6. Treatments available at your center:
Check all that apply. *This question is required.

Spinraza (nusinersen)
Zolgensma (onasemnogene abeparvovec)
Evrysdi (risdiplam)

7. For which patient age groups does your center accept new patients?
Check all that apply. *This question is required.

0-18
18-21
21+

8. If you and/or the prescribers at your site are not already receiving our emails, can we include the contact information to our email list of medical professionals? The contacts will receive updates regarding Cure SMA research updates, programs, and education opportunities. *This question is required.

9. Please provide the name and contact information for prescriber(s) that you wish to include within the Cure SMA mailing list:

Provider #1: First Name

Last Name

Credentials