Shire cares 2026

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  1. Click ‘Get Form’ to open the Shire Cares application in the editor.
  2. In Section 1, have your treating physician complete all required fields, including their name, DEA number, and facility information.
  3. In Section 2, the doctor should fill out the prescription details for the patient, ensuring to select the correct medication and dosage.
  4. For Section 3, as a patient, enter your personal information such as name, date of birth, and contact details.
  5. In Section 4, provide your financial information. Be sure to attach proof of income as specified.
  6. Complete Section 5 by filling out your insurance information. Attach copies of your insurance card if applicable.
  7. Finally, review all sections for completeness and ensure both you and your doctor sign where required before submitting via fax or mail.

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