Get Started

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Enroll Today

As a patient or legal representative, you can enroll to receive personalized support and access to resources through OneSource. Choose the option below that works best for you.

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Enroll with the Digital Enrollment Form

Enroll to receive personalized support, including insurance navigation, financial assistance, and treatment education.

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Enroll with Adobe eSign

Enroll using Adobe eSign. Complete the form online and submit it securely with an electronic signature.

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Download and submit the patient form

For alternate enrollment options, you can download one of the PDFs below, fill out the form, and send it by email to OneSource@Alexion.com or fax it to 1-800-420-5150.

Access the OneSource Online Experience

After enrolling, you will have the option to create an online account. Through the OneSource Online Experience, you can:

  • View outstanding tasks
  • Easily update contact preferences
  • Connect with your OneSource Support Team
  • Download educational resources

Ask your dedicated Case Manager for more information about the OneSource Online Experience.


Need Assistance?

For help completing the forms, questions about the program, or additional support, please contact us:

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Phone

1-888-765-4747

(Monday–Friday,
8:30 AM–8:00 PM ET)


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Not ready to enroll?

For general information, you don’t have to be enrolled—simply call 1-888-765-4747 to ask questions.

For personalized support, such as health insurance navigation or support with treatment logistics, an enrollment form is required.

Need support in another language?

Patients of different spoken languages can receive the support they need. 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.