PatientParentRegistration

Join more than 39,000 EpiPen^®Auto-Injector users and reap the benefits¹

MyEpiPen^® is an online resource dedicated to helping you and your family be better prepared to manage anaphylaxis (severe allergic reaction). If you're not yet a member of MyEpiPen^®, make sure you join today to receive:

An EpiPen^® Trainer – a training device to help you practise using EpiPen^®Auto-Injector

How to use EpiPen^®Auto-Injector fridge magnet - to serve as a useful reminder

Expiry reminders - to help ensure you always have an in-date EpiPen^®Auto-Injector at hand

Regular updates on the latest anaphylaxis news

1 Patients
2 EpiPen^®
3 Support Kit
4 Login

Are you registering as a patient or as a parent/guardian?

Patient

Parent/guardian

Patient details

First name*

Last name*

Contact number*

Patient allergies

Allergy

Delete

Allergy

Delete

Your details

First name*

Last name*

Relationship to patient*

Mobile number*

Patient Delete

First name*

Last name*

Allergy

Delete

Allergy

Delete

Add Allergy

Register a Pen

Pen*

Location*

The batch number of your EpiPen^® Auto-Injector can be found on the pen label here.

Expiry*

Pen type*

Reminders*

Delete

Where can we send your FREE EpiPen^® Auto-Injector support kit?

Mailing address

Street address*

Street address line 2

City*

Postcode*

State/Province*

What's in the support kit?

Your EpiPen^® Auto-Injector support kit includes a free trainer pen and instructional "How to use EpiPen^®" fridge magnet.

Almost there! We just need to set up your login details

Email address (this will be your username)*

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Password must contain at least 6 characters including one uppercase letter, one lowercase letter, one number and one special character

Confirm Password*

I would like to subscribe to the email newsletter.

I have read and agree to the terms of use and privacy notice.

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Login to MyEpiPen^®

Join more than 39,000 EpiPen^®Auto-Injector users and reap the benefits¹

Register here

Tell us a bit about
yourself

Register a Pen

Where can we send your FREE EpiPen^® Auto-Injector support kit?

Almost there! We just need to set up your login details

Login to MyEpiPen®

Join more than 39,000 EpiPen® Auto-Injector users and reap the benefits1

Register here

Tell us a bit about yourself

Register a Pen

Where can we send your FREE EpiPen® Auto-Injector support kit?

Almost there! We just need to set up your login details

You are leaving the MyEpiPen® website

Login to MyEpiPen^®

Join more than 39,000 EpiPen^®Auto-Injector users and reap the benefits¹

Tell us a bit about
yourself

Where can we send your FREE EpiPen^® Auto-Injector support kit?

You are leaving the MyEpiPen^® website