Medical Information Request Form

Patient/CaregiverHealthcare professionalOther

All items marked * are required fields

We use and otherwise process this information in accordance with our Privacy Policy, available at, including to respond to your request, to comply with applicable regulatory and transparency reporting requirements, and for business and customer analytics as we deem necessary.

To report an adverse event or a product complaint, click here and complete the submission form, or contact us by calling 1-855-SPARKTX / +1 855-772-7589

Contact us with medical questions also by calling
1-855-SPARKTX / +1 855-772-7589.