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Novartis Patient SupportAccess Portal Registration Form

Purpose: To Register a new Access Portal account for your practice, you must include:

  • at least 1 portal user and 1 designated portal administrator
  • at least 1 prescriber
  • all locations to be included in your portal account

* Required fields are denoted with asterisks

Your Practice Information
Your Information

If you experience any issues or need assistance completing the form, please contact Novartis Customer Support at 1‑844‑367‑3222 or email customerserv-us.aaa@novartis.com.