Enroll in SpringWorks CareConnections^®

Download & Print

If you choose to submit the Enrollment Form through fax or email, please follow the steps below:

Step 1

Download, complete, and sign the required sections of the form, including patient authorizations and certifications.

Step 2

Fax the enrollment form to 844-227-3747.

OR

Email the enrollment form to info@springworkstxcares.com.

Have Questions?

Call SpringWorks
CareConnections today

844-CARES-55
(844-227-3755)

Monday-Friday
8 AM-8 PM ET

© 2026 Merck KGaA, Darmstadt, Germany and/or its affiliates. All rights reserved.

OGSIVEO, GOMEKLI, PIMJETMI, and SpringWorks CareConnections are registered trademarks of Merck KGaA, Darmstadt, Germany and/or its affiliates. All other trademarks are the property of their respective owners.

EMD Serono, Inc. and SpringWorks Therapeutics, Inc. are healthcare companies of Merck KGaA, Darmstadt, Germany.

US-GOM-01893 11/26

This site is intended for U.S. audiences only.

This site is intended for U.S. audiences only.