Enroll Your
Patient

Online

Visit our easy-to-use online enrollment portal. In a few clicks, your patient can be enrolled in Takeda Patient Support.

Get Started

Fax

1. Fill out the Start Form.
2. Fax the completed Start Form to Takeda Patient Support at

1-866-861-1752

Questions?

Call Takeda Patient Support at 1-866-861-1750, Monday through Friday, 8 AM to 8 PM ET.