Enrollment

Enroll your patients for 1-on-1 support

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We have made it easy to provide your patients with access to YourBlueprint™:

To initiate enrollment, print and complete the enrollment form with your patient and fax it to 1-866-370-3082.

If patients cannot provide consent in person, they can download the form, complete it, and send it back to YourBlueprint via email, fax, or the mailing address provided.

If your patient is unable to sign the printed form, they can provide their consent online.

For questions on enrollment or if you would like more information on services we offer, call to speak with a Case Manager today.

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YourBlueprint: Our priority is your patient

Speak with a dedicated Case Manager at
1-888-BLUPRNT (1-888-258-7768)
Monday-Friday, 8 AM-8 PM Eastern Time (ET)

AYVAKIT, Blueprint Medicines, YourBlueprint and associated logos are trademarks of Blueprint Medicines Corporation.
© 2020 Blueprint Medicines Corporation.
01/2020     USBP-PSP-19.040.1