For Healthcare Professionals Only

How to Enroll

We offer 2 convenient ways to enroll in Taiho Oncology Patient Support Services:

Download, Print & Fax

Download and fill in the Enrollment Form and print it out to complete.

Fax the completed form to 1‑844‑287‑2559

Download in English Download in Spanish
Or

By Phone

Call 1-844-TAIHO-4U (1‑844‑824‑4648) for help with enrollment.