Get Support Program - Kpp-rx.com

This guide will help you successfully fill out the Support Program - KPP-RX.com online. By following these steps, you will have a clear understanding of each section and be able to complete the form with confidence.

Follow the steps to complete your enrollment form.

1. Press the ‘Get Form’ button to access the form and open it in your preferred editor.
2. In Part 1, check your answers carefully. The first question is regarding your type of diabetes. Please select from the options provided: Type 1, Type 2, or Not sure.
3. Proceed to Part 2 where you will provide your personal information for delivery and enrollment. Ensure all fields are filled out neatly to avoid delays. This includes your title, name, and addresses.
4. Indicate your email address and date of birth in the designated fields. Specify the best time to receive calls, selecting either morning, afternoon, or evening.
5. Complete the section about your usage history, including the start date or planned start date of usage.
6. Choose your preferred method of receiving materials from the Support Program: by mail, email, or both.
7. Once you have filled out all sections of the form, review your entries. Save any changes you have made.
8. Finally, print or share the completed form as needed before sending it to the specified fax number: 800-305-0277.

Complete your enrollment form online today to start receiving support tailored to your needs.