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Call ForgingBridges Today:

1-888-55-BRIDGE (1-888-552-7434)

phone icon

Call ForgingBridges Today:

1-888-55-BRIDGE (1-888-552-7434)

more below More Below

Get started
by
enrolling
your patients

in ForgingBridges

Free Trial
Free Trial Get eligible patients
started today
Actor portrayals.

Just 2 quick steps to enroll

Step 1:
Start Form

Complete and submit the
electronic
Start Form
with your
patient
to enroll them in
ForgingBridges

Electronic Start Form

OR

You may also print the Start
Form
, complete it
with your
patient, and fax it to
1-877-738-0545

Download PDF
Step 2:
Patient Consent

Once you complete the Start
Form
to initiate enrollment, your
patient must separately
sign the
Patient Consent Form.

Electronic Patient Consent Form

OR

Your patient may also complete
the consent form by
printing it
,
filling it out, and faxing it to
1-877-738-0545

Download PDF

Once steps 1 and 2 are completed, we’ll take it from there!

Confirmation of enrollment receipt will be sent to your office along with the next steps,
which may include insurance coverage and financial assistance information.

You can also enroll in ForgingBridges with ePrescribe

You may ePrescribe by selecting Attruby and RareMed Pharmacy
(NPI: 043877996)
on your eRx platform.

Questions?
Get in touch with us.

Call ForgingBridges at:
1-888-55-BRIDGE (1-888-552-7434)
Mon–Fri, 8 AM to 8 PM ET

Questions?

Get in touch with us.

Call ForgingBridges at:
1-888-55-BRIDGE (1-888-552-7434)
Mon–Fri, 8 AM to 8 PM ET

Confirmation of enrollment receipt will be sent to your doctor’s office & we’ll take it from there!