Support starts with enrollment
It takes just a few steps. There are two ways you can enroll.
Enroll online
Fill out the form for your patient online. If your patient is unable to provide consent in your office, HemAssist can reach out to get the patient’s consent directly.
Enroll by fax
Download, print, and fill out the enrollment form. Fax the completed form to HemAssist at 1-855-398-7634.
What happens next
After the enrollment form is submitted, we can help you and your patient get started right away.
Welcome call
A HemAssist Case Manager will reach out to the patient to help onboard them to the program.
Insurance investigation
A HemAssist Case Manager will verify the patient’s insurance coverage and assess which financial assistance programs they may be eligible for.
Treatment shipment
The HemAssist team will help coordinate medication delivery. Our team can also triage the prescription to the specialty pharmacy if you prefer.
Need help?
Our team is here to assist you. Call 1-833-723-5463 Monday – Friday 8 AM to 7 PM ET.
