Response

If you have taken or are currently taking Xtandi and would like to share your story with my office, please fill out the information below:

Prefix

First Name

Last Name

City

State

Zip

Primary Phone

RequiredDo you currently take Xtandi?

RequiredAre you willing to share your name and story publicly?

RequiredPlease share your story, including how much you currently pay for Xtandi: