Share your story

Shire is looking for patients and their
caregivers to share their experiences.

If you’re interested in telling your story,
just fill out the form below.

We’re looking forward to hearing from you!

How would you like to be contacted?
May we leave a voicemail?
Are you a patient or caregiver?
How old are you?
Who do you help care for?
How old is your child?
If other, please describe:
Do you use a Shire treatment?
Which one(s)? (Select all that apply)
If other, please describe:
Share your story
Have you ever been
a Shire Ambassador?
For what product?

Terms and conditions

I understand that the personal information I provide on this website ("my information") may be used by Shire, or other companies acting on its behalf (collectively "Shire"). I authorize Shire to use my information: (i) to contact me via telephone or email; (ii) for internal use by Shire, including data analysis; and/or (iii) for external use only in a de-identified, anonymous manner. Neither Shire nor anyone working on behalf of Shire will sell or rent personal information collected on this site. I understand that reasonable efforts will be made to keep my information private. I am aware that the Shire Privacy Notice is available at

By clicking “Submit” I certify that I am 18 years of age or older.

All fields are required.