Support is only a phone call away
Not an actual patient.
Call us to start your enrollment
A care team member will get you started over the phone. We’ll reach out to your child’s healthcare provider for any additional information and send you an email to complete an e-signature.
OR
Fill out the enrollment form with your child’s healthcare provider
You can enroll in Enzyvant CONNECT® by downloading and printing the enrollment form and filling it out with the help of your child’s healthcare provider.
Enrollment in Enzyvant CONNECT does not guarantee treatment.
Need more information?
We’re available Monday–Friday, 8:00 am to 8:00 pm ET.
Want us to call you? Fill out the fields below and we’ll follow up within 24 hours.
All fields required.
*By completing and submitting this form, you grant permission and agree to allow Enzyvant and its affiliates to store the information you provide so that Enzyvant may market or advertise to you across multiple channels. Enzyvant will not sell or share this information with third parties. For additional information regarding how Enzyvant handles your information, please see our privacy policy.