Skip to main content

Get Registered/Renewed

If at any point during registration you have a question, call 1-844-644-4726 and the folks on our customer support team can answer any question you have.

Fill out the form below to register with us.

Or, if you’d rather, you can also download this Registration/Renewal form and mail it to us.

Your contact information


Address
Mailing Address
Shipping Address
Shipping Address

We just need you to confirm a few things


Would you like to authorize a caregiver to make decisions on your behalf?
Would you like to authorize a caregiver to make decisions on your behalf?

Before we can authorize a caregiver to be responsible for you as a substitute decision maker, they will need to fill out the Authorized Caregiver Form online or by downloading this PDF.


Prescription Reminder Program


Signature

Have a question for us?

Call 1-844-644-4726 (1-844-OGI-GRAM) and the folks on our client support team like Dan, Janice and Jeff can answer any question you have.

Dan
Janice
Jeff

Monday to Thursday: 8:30 AM to 8:00 PM 
Friday: 8:30 AM to 6:30 PM 
Fax: 1-855-267-1386