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REGISTRATION REQUEST

If you are pregnant and have taken at least one NUVIGIL tablet within 6 weeks of becoming pregnant or at any time during your pregnancy, you may be eligible to participate in the Registry.

Participation in the Registry is entirely voluntary, and you may withdraw at any time. Click here for a copy of the Consent form.

Your participation in the Registry may last throughout your pregnancy and up to 12 months after your delivery date. You may be asked to participate in up to 7 telephone interviews (on enrollment, at each trimester of pregnancy, within 2 months after your delivery, and when your baby reaches 6 months and 1 year of age). During these interviews, you will be asked to provide information about your health and your baby’s health. No special clinic visits or tests are required.

You may register by filling out the information below or by calling the Registry at 1-866-404-4106.

Please refer to the consent form for information on how the Registry will keep your information confidential.

  • Have you taken NUVIGIL within 6 weeks of becoming pregnant?
  • Are you pregnant now?
  • Are you a resident of the United States?
  • Will you allow us to contact your doctor and your baby's doctor for information?
Name*
Telephone* Eg. ### ### ####
Confirm Telephone* Eg. ### ### ####
Best time of day to call?
Can we leave a voice mail?
*Required Field