Incyte Mentor Opt-in First Name *Last Name *Phone Number *Email Address *Address 1 *Address 2City *State *Select your stateALAKAZARCACOCTDCDEFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPAPRRISCSDTNTXUTVTVAWAWVWIWYZip Code *I am… *Select your answerLiving with a condition that is treated with JakafiCaring for someone with a condition that is treated with JakafiI am/my loved one is a person with: *Select your answerPolycythemia vera (PV) who has already taken hydroxyurea (HU) and it did not work well enough or I/they could not tolerate itIntermediate or high-risk myelofibrosis (MF)Which of the following applies to you/your loved one? *I am/my loved one is considering Jakafi I have/my loved one has been prescribed but not yet started JakafiI am/my loved one is currently taking JakafiThe best time to contact me isMorningAfternoonEveningConsent for Use of Personal Information By clicking Sign Up below, I certify that I am 18 years of age or older and authorize Incyte Corporation (“Incyte”) and its agents to use my registration information provided above (my “information”) to contact me via mail, telephone (including leaving a voicemail that mentions the Incyte Mentor Program), Internet-based or electronically (eg, Internet) or otherwise in order to provide education and ongoing support services related to product, disease and other areas of interest. I understand that I may at any time revoke my consent to be contacted for any of these purposes by opting out from future communications from Incyte by calling the Incyte Mentor Program at 1-877-647-9206 or emailing info@IncyteMentorProgram.net. I also understand that the information I provide may be combined with that of other registrants to create aggregated, anonymized data and to use and share only the anonymized data for any legitimate business purpose. Learn more about how Incyte processes your personal information at Privacy Policy. Please complete the reCAPTCHA to continue. Sign Up to Talk to a Mentor Taking Jakafi >