Get Enrollment Form Optumrx

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1. Click on the Get Form button to begin editing.
2. Enable the Wizard mode on the upper toolbar for additional guidance.
3. Complete every fillable section.
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5. Specify the date in the document using the Date tool.
6. Choose the Sign option and create an electronic signature. You will have 3 choices: typing, drawing, or uploading one.
7. Confirm that each and every section has been accurately filled out.
8. Click Done in the upper right corner to save the document.

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1. Insert checkmarks, circles, arrows, and lines.
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