Corcept Cares Patient Authorization Form

KOR-N-00152 AUG 2025
NEW Corcept Cares Patient Authorization Form dated OCT 2025 is a stand-alone authorization form to consent Korlym patients for Patient Advocate and SPARK Hub outreach.

FIELD USE:
  • PRINT: Discuss & Leave Behind; Corcept Materials Order Website
  • DIGITAL: May send through Veeva-Approved Email; may share during Remote or In-service Meetings through Veeva
  • MAIL: Can be mailed to HCP office. Must include Korlym Mailing Resource Letter (KOR-00737 AUG 2020) with mailing. Full Prescribing Information (K-00014 SEP 2024) must be included with all mailings of Korlym Branded Mailing Resource Letter (KOR-00737 AUG 2020)
Corcept Cares Patient Authorization Form
KOR-N-00152 AUG 2025
NEW Corcept Cares Patient Authorization Form dated OCT 2025 is a stand-alone authorization form to consent Korlym patients for Patient Advocate and SPARK Hub outreach.

FIELD USE:
  • PRINT: Discuss & Leave Behind; Corcept Materials Order Website
  • DIGITAL: May send through Veeva-Approved Email; may share during Remote or In-service Meetings through Veeva
  • MAIL: Can be mailed to HCP office. Must include Korlym Mailing Resource Letter (KOR-00737 AUG 2020) with mailing. Full Prescribing Information (K-00014 SEP 2024) must be included with all mailings of Korlym Branded Mailing Resource Letter (KOR-00737 AUG 2020)