Gskforyou application: Fill out & sign online

Here's how it works

01. Edit your gskforyou application online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send bridges to access program via email, link, or fax. You can also download it, export it or print it out.

How to use or fill out bridges to access application with our platform

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Click ‘Get Form’ to open the bridges to access application in the editor.
Begin by filling out the Applicant Information section. Enter your first name, middle initial, and last name, followed by your mailing address, city, state, ZIP code, and phone number.
Provide your date of birth and gender. Ensure you include your Social Security number and total gross monthly or annual income.
In the Prescription Coverage section, indicate if you are eligible for any state or federal prescription drug programs and provide details if applicable.
Complete the Shipping Address section only if the medicine is to be sent to a different address. Specify the addressee's relationship to you.
List any known drug allergies and health conditions in the Allergy and Health Information section.
Review all sections for completeness before submitting. An incomplete application may delay processing.

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What is the best way to send my bridges to access application for eSignature?

Upload your bridges to access application to DocHub (after you’ve created an account for this). If you need to fill out fields in it, use proper tools from the top pane. For example, add Signature Fields, assign each to a particular party, and click on Sign → Request signatures from others. Customize your message for your recipients and click Send Request. You can also send your form by fax or as a Signing link instead of using email (you’ll locate these options by navigating to the Menu → Send)

How do you create an e-signature for the bridges to access application on iOS?

In addition to a comprehensive toolset for editing PDFs on mobile phones, DocHub enables you to sign your bridges to access application along the way. Open our editor in your internet browser, make modifications using DocHub’s toolset, and complete your editing by eSigning the finished form.