Get Start Form

Filling out the Start Form online is a straightforward process that enables patients to access necessary healthcare services efficiently. This guide will walk you through each section of the Start Form to ensure that all essential information is accurately completed.

Follow the steps to complete your Start Form online.

1. Click the 'Get Form' button to retrieve the Start Form and open it for editing.
2. Have your patient read and sign the Patient Consent Information section at the designated areas on the Start Form. Although patient signatures are not mandatory for prescription, obtaining them will facilitate quicker enrollment in Biogen Idec support services.
3. Complete all remaining fields of the Start Form. It's essential to fill in patient details, including their insurance and pharmacy benefits information. If available, attach copies of both sides of the patient's insurance and pharmacy benefit cards.
4. After finishing the Start Form, provide the patient with the Instructions for Patients and Patient Consent Information pages. This will ensure they understand the next steps and the services available.
5. Submit the completed Start Form by faxing it to 1-855-474-3067. Ensure the form is fully completed to avoid delays in the patient's treatment.
6. Once the Start Form has been submitted, the patient will be contacted by a pharmacy within the Pharmacy Network to arrange for prescription delivery.
7. At any point after completing the Start Form, users can save changes, download, print, or share the form as required.

Complete your Start Form online today to access the services you need.