CORE Hotline
 
Skip Navigation LinksCORE Home | General Information | Reimbursement Forms & Documents


How to Enroll


Click on the link below to download. The document will open in a new window. You can print or save the document to your computer.

If you don't have Adobe® Reader® you can download it for free at the Reader® download site.

To register a patient in CORE, complete and fax the following form to CORE at 1-888-891-4924.

Enrollment Form
Enrollment Forms


Once CORE receives your patient enrollment form, we will fax you an acknowledgement letter that
includes contact information for your CORE representative and further instructions.

This section contains sample letters. These letters are used for reference purposes only.
To obtain a copy of a letter please contact the CORE Hotline at 1-888-891-4924.


 
 
CORE HOME | TERMS OF USE | CONTACT US | PRIVACY | SITE MAP | HIPAA
PRESCRIBING INFORMATION
IMPORTANT SAFETY INFORMATION
BOXED WARNING
PRESCRIBING INFORMATION
  United States Residents: Disclaimer: These sections are intended to provide information for residents of the U.S. only.