Enroll in
ForgingBridges

Actor portrayals.

Enrollment is initiated
by your doctor.
To participate in
ForgingBridges, simply
sign the consent form

Option 1Fax Submission

Complete the Patient
Consent Form and fax it to
1-877-738-0545
Download PDF
Download Spanish
Consent Form
Option 2Electronic Submission

Review and sign the Patient Consent Form electronically
Sign eConsent

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

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!