Nurse Support Enrollment Form
The ZYDELIG AccessConnect Nurse Support program offers a team of patient support nurses who can answer questions and provide tips related to your therapy. To enroll in the ZYDELIG AccessConnect Nurse Support program directly, complete the form below and click CONTINUE. You will then be asked to provide your e-signature to complete the enrollment process.
Upon enrollment, you will also receive a ZYDELIG® Welcome Kit with resources to help you become more informed about your treatment and provide support while on ZYDELIG.
To learn more about AccessConnect support offerings, visit zydeligaccessconnect.com/patient.
Call 1-844-6ACCESS (1-844-622-2377) Monday through Friday, 8 am-5 pm ET.
Learn about financial programs that may help eligible patients make ZYDELIG more affordable.See Programs
Find forms and materials to help you get started with ZYDELIG.Access Resources