Patient Enrollment

Enrolling Patients in BRIDGES TO ACCESS^®

There are 2 ways for patients to enroll in Bridges to Access:

On your own by fax or mail.
If you need medicine that same day, you should be enrolled via phone by an Advocate (i.e. someone such as a healthcare worker, social worker, or case worker who is involved in the delivery of your healthcare).

	Enrollment by Fax or Mail	Enrollment by Phone
Who does the enrolling?	Either the patient or the Advocate	Advocate only
When to choose this type of enrollment	For patients who do not need medicine right away For patients who want to self-enroll (i.e. patients who want to enroll on their own without the aid of an Advocate)	For patients who need medicine that same day
How to submit documents	The patient or the Advocate can fax or mail enrollment documents to the program (with applicant name and date of birth on each page). If the patient is enrolled by Advocate phone call, the documents must be mailed or faxed after the telephone enrollment is complete. Please note that faxed prescriptions are only valid if faxed directly from a physician’s office.
Where is the application?	Download application	Download application

Two Ways to Enroll

For Patients Who Want to Self-Enroll

Patients may enroll in BRIDGES TO ACCESS® on their own by completing an application and faxing or mailing it in.
Learn More

When Medicine Is Needed Immediately

Patients who need medicine that same day should ask their Advocate (i.e. anyone involved in the delivery of the patient's healthcare) to enroll them in BRIDGES TO ACCESS® by phone.
Learn More

Enrolling Patients in BRIDGES TO ACCESS®

Two Ways to Enroll

For Patients Who Want to Self-Enroll

When Medicine Is Needed Immediately

Enrolling Patients in BRIDGES TO ACCESS^®