ENROLL
YOUR
PATIENT
ONLINE

• Complete the Enrollment Form
  • Your patient will then need to complete the Patient Support Agreement, which will be emailed and texted to them

CHOOSE THE OPTIONS THAT
BEST FIT THE NEEDS OF
YOUR PATIENT

• Choose how your patient will obtain a Patient Starter Kit:
  • Provided by you in your office OR
  • E-prescribed by you to Careform Pharmacy
• Choose the personalized dosing support and education option that's right for your patient:
  • Offered by a Clinical Educator OR
  • Provided by you and your office staff
• You choose your preferred method of HIPAA-compliant communication, which makes it easy for you to stay on top of your patient's onboarding journey
• Initiate a benefits investigation and help your patient find savings on medication costs

WRITE THE
KYNMOBI

PRESCRIPTION

• Once the onboarding process has been completed, write a prescription for your patient's individualized dose and send it to us at Careform Pharmacy*
• Once the prescription has been received, we will make sure it gets to your patient as quickly as possible

• Finding Careform Pharmacy
  in Your EHR

*Patient benefits investigation and verification of insurance coverage are provided as a service by Careform Pharmacy, a non-commercial, non-dispensing pharmacy.

*Patient benefits investigation and verification of insurance coverage are provided as a service by Careform Pharmacy, a non-commercial, non-dispensing pharmacy.