Enroll in
ForgingBridges

There are 2 ways to
submit your consent
to join Forging
Bridges:

• Option 1Fax Submission
  

  Complete the Patient
  Consent Form and fax it to
  1-877-738-0545

  Download

  Descargar en español

  
• Option 2Electronic Submission
  

  Review and sign the Patient Consent Form electronically

  Sign Patient eConsent Form

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