Resources for Project Access® Providers and Practices

Here are some forms and resources that may be helpful to you as a participating Project Access® provider or practice:

• Project Access® Patient Referral Form (combined form for new patients or patients needing to re-enroll, and patients needing a new outside referral)
• 2021 Project Access® Pledge Form (link to a Google form)
• Website Registration Form (to gain access to the Verify Enrollment Portal)
• Business Associate Agreement
• Preferred Medication Prescription List
• Prescription Discount Drug Card
• Flyer - Patients
• Flyer - Practices & Medical Community