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OGSIVEO® (nirogacestat)
Patient

HCP

GOMEKLI® (mirdametinib)
Patient

HCP

844-CARES-55 (844-227-3755)Monday-Friday 8 AM-10 PM ET  844-227-3747
Enroll a Patient Connect With a FAM Have Feedback?
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Enroll a Patient Connect With a FAM Have Feedback?
Go to Patient
Gomekli logo

Enrolling Your Patient in SpringWorks CareConnections® Is Simple

Follow the steps below:

Download and complete the editable PDF enrollment form.

Step 1

Download the Springworks CareConnections Enrollment Form.

Download PDF

Step 2

Complete and sign the form.

Be sure to include:

  • Prescription
  • Prescriber signatures

Please note: Your patient is also required to provide certain information and sign the corresponding authorizations to enroll in the program.

Step 3

Fax the enrollment form to 844-227-3747.

Phone

Have questions?

Call SpringWorks
CareConnections today

844-CARES-55
(844-227-3755)

Monday-Friday 8 AM-10 PM ET
Phone

Have questions?

Call SpringWorks CareConnections today

844-CARES-55
(844-227-3755)

Monday-Friday
8 AM-10 PM ET

Fam

Field Acccess
Manager (FAM) Support

For questions about patient access to GOMEKLI, click to connect with a FAM
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C_GOM_US_0083  10/25

OGSIVEO, GOMEKLI, and SpringWorks CareConnections are registered trademarks of SpringWorks Therapeutics, Inc. All other trademarks are the property of their respective owners.

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