Enroll in SpringWorks CareConnections^®

Once you are prescribed PIMJETMI^® (pimicotinib), to start receiving personalized support from SpringWorks CareConnections, first complete and submit an enrollment form, including the patient authorizations through DocuSign^® using the link below. If you prefer, you can also download and complete a printed or PDF version of the form and submit it through fax or email. We will then work with your doctor to obtain other required information for enrollment and will reach out to you if any additional information is needed.