English Corcept Cares Patient Authorization Form

US-KOR-26-0188 05-26
The purpose of the Corcept Cares Patient Authorization Form is for the Specialty Pharmacy hub or patient advocate to be able to send the consent form to patients directly for signature.

FIELD USE:
  • PRINT: Discuss & Leave Behind; Corcept Materials Order Website
  • DIGITAL: May share during remote in-service; May share during in-person meetings through Veeva; May send through Veeva approved email US-ADM-26-0051_SPARK Enrollment Materials
  • MAIL: Can be mailed to HCP office. No PI or letter required
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English Corcept Cares Patient Authorization Form
US-KOR-26-0188 05-26
The purpose of the Corcept Cares Patient Authorization Form is for the Specialty Pharmacy hub or patient advocate to be able to send the consent form to patients directly for signature.

FIELD USE:
  • PRINT: Discuss & Leave Behind; Corcept Materials Order Website
  • DIGITAL: May share during remote in-service; May share during in-person meetings through Veeva; May send through Veeva approved email US-ADM-26-0051_SPARK Enrollment Materials
  • MAIL: Can be mailed to HCP office. No PI or letter required
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