Get Started

How to get started with onesource

You don't have to be enrolled in OneSource to get information—simply call 1-888-765-47471-888-765-4747 to ask questions.

If English is not your preferred language, we will connect with you through one of our interpreters to make sure you get the support you need.

Ready to enroll in the program for personalized support from OneSource?

Please choose one of the following options:

Complete and submit the patient enrollment form

If you are a patient and would like to join the OneSource support program, simply fill out the form below and click “Continue” to be guided through the process.

All fields are required, unless noted.

Patient information:

Please enter your first name
Please enter your last name
Please enter your email

Select your condition:

Please select one of the options

I AM A...

Please select one of the options

Your prescribing doctor’s information (optional):

Please check the box to continue

An error occurred and your form was unable to be submitted. Please submit the form again.

Make sure you click the FINISH button before closing Adobe Sign to send your form to OneSource™!

OR


Download and submit A OneSource Form

Download and fill out the form that applies to you.

  • sign-icon

    Sign

    After youve completed the form, make sure to sign it. This allows us to share required health information.

  • send-icon

    Send

    When the form is complete, email it to OneSource@Alexion.com or fax it to 1-8‌00-420-5150.

For patients: By completing your enrollment form, you’re providing consent to Alexion to collect your specific health information for the OneSource™ patient support program. This includes access to services that can help you navigate your health insurance, continue your care while traveling, and understand more about your treatment and condition. The program is optional, but this form is needed for Alexion to provide you with support.