Program Notice

By ordering this test and participating in the program, the healthcare provider (“You” or “Your”) is responsible for ordering testing under this program in accordance with your own medical judgment and applicable laws. You understand that Amicus will cover the cost of testing for eligible patients and the testing will be performed by Labcorp. Sample collection charges may apply. You understand that Labcorp may share your information with Amicus. You understand the eligibility criteria set forth above and have determined that the patient meets those criteria. The Patient has been informed by You that Amicus covers the cost of the testing and the Patient understands that they are under no obligation to purchase or use any Amicus products or services. The Patient also has been informed by You that no identifiable patient data will be shared with Amicus as part of this program. You understand and acknowledge that (i) You will not seek reimbursement for this no-charge test from any third party, including but not limited to government healthcare programs and the Patient; (ii) You are not obligated to recommend, purchase, order, prescribe, promote or use any product or service offered by Amicus or Labcorp; (iii) You are not obligated to participate in or to encourage patients to participate in any clinical trial or other research program conducted by Amicus; and (iv) You will participate in the Program in accordance with applicable laws. You attest that You are authorized under applicable law to order this test and that the Patient meets the eligibility criteria.