Enroll your patients in Interconnect now

Get your patients started on medication and a full suite of comprehensive, personalized support services with Interconnect. Click below to begin the enrollment process.

Enroll online

Complete the online enrollment process for your patients.

Enroll on paper and fax

Print the enrollment form, fill it out,
and fax it to 1-855-686-8730.

Ensure your patients have completed their consent

You can easily send an email from our Interconnect site or copy and paste to send personally.

Regardless of the option you choose, please know we will not save your patient’s information.

Thank You!

Your patient has recieved an email to complete their eConsent.

See the email

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