collection-container
form-container
collection-item-type
core-hero, core-form
collection-container-variant
brand
image
eyebrow
Sign Up
headline

Sign up for resources and support

content
Your health is important. Get support and be informed. Whether you’re still considering [product] or your healthcare provider has already prescribed it for you, you’ll receive [information and tips about taking product and living with condition name].
disclaimer
Optional disclaimer goes here. Lorem ipsum dolor sit amet, cons ectetur adipiscing elit, sed do eiusmod tempor incididunt.
token
form_builder__production__1653
success_page
/patient-support-confirmation
success_redirect
TRUE
staging_active
FALSE
form_name
example-patient-support
additional_styles
/lib/styles/patient-support-example.css
collection-container
card-grid-container
collection-item-type
core-card, core-text
headline

Required header goes here lorem ipsum dolor sit amet.

card_identifier
heading

Lorem ipsum dolor sit amet consectetur

body
Excepteur sint occaecat cupidatat non proident, sunt in culpa qui officia deserunt mollit anim id est laborum.
cta
CTA Button Link
card_identifier
heading

Lorem ipsum dolor sit amet consectetur

body
Excepteur sint occaecat cupidatat non proident, sunt in culpa qui officia deserunt mollit anim id est laborum.
cta
CTA Button Link
card_identifier
heading

Lorem ipsum dolor sit amet consectetur

body
Excepteur sint occaecat cupidatat non proident, sunt in culpa qui officia deserunt mollit anim id est laborum.
cta
CTA Button Link