Use the form below to sign up to receive information and resources that may help you or a loved one who has been prescribed TECENTRIQ.

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Which option best describes you?*

Thank you for your interest in TECENTRIQ On Your Side. At this time, TECENTRIQ On Your Side is only designed for people who have been prescribed or are currently on TECENTRIQ.

We understand how important it is to find support when you or someone you love has been diagnosed with cancer. There are many national organizations that can provide valuable resources and information to cancer patients and their family. Learn more.

Please fill in the form below to sign up for TECENTRIQ On Your Side.


You must be 18 years or older to sign up.

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By providing your information, you agree to allow Genentech and its agents to collect the information provided and to be contacted by Genentech and its agents using this information in the future. Furthermore, you are agreeing that Genentech and its agents may contact you by phone, email, or mail, and that such electronic or other written communications may include information regarding your health within them. Genentech will not sell, rent, or otherwise distribute your name and any personally identifiable information outside of Genentech and its agents. Genentech will only use your information in accordance with the Genentech Privacy Policy.

Please refer to our Terms & Conditions. By signing up for this site, you are indicating that you want to receive information from Genentech on TECENTRIQ, as well as product information about specific treatments.

Registration Confirmation

Thank you! Your information has been received. You should receive useful emails in the next few weeks.

For patients or caregivers of patients who are currently on or are starting treatment with TECENTRIQ , you will also receive your Welcome Kit in the next few weeks.

We look forward to sending you more information in the near future.

Click here for additional patient and caregiver resources.