Right from the start, RELiZORB Support Services is here with you every step of the way.
The process begins when you have a healthcare visit. When your doctor writes a prescription for RELiZORB, you will be asked to complete a Patient Enrollment Form.
It is important that you fill out this form and email or fax it to RelizorbOrder@asembia.com or 1-844-233-3146 because:
- It gives your consent for RELiZORB Support Services to contact you and arrange for delivery of RELiZORB
- It gives your consent to allow RELiZORB Support Services to contact your heath insurance company to begin the process of getting RELiZORB to you
Your RELiZORB Support Services Program Coordinator can help answer questions you may have about RELiZORB, how it works, and how to set it up.
We're Here to Help
Just let us know if you have any questions about starting RELiZORB or completing the Patient Enrollment Form. We're just a phone call away.