LIBTAYO Surround can help your patients access LIBTAYO and navigate the health insurance
process
You are your patient’s most trusted source for information about their condition and treatment. Along with your
guidance, LIBTAYO Surround is here to help.
Learn more about what LIBTAYO Surround offers
Enrolling in LIBTAYO Surround is the first step to accessing support services
Click here for more information about how LIBTAYO Surround can help support
your patients.
Online
through the LIBTAYO Surround Provider Portal
You can help patients enroll in LIBTAYO Surround and complete important tasks online
Online enrollment
-
You can help patients enroll online, without additional paperwork or
faxes
All-in-one repository
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Centralized patient information to easily track each patient’s treatment journey
Support resources
- Direct access to LIBTAYO Surround resources, links, and forms
- Alerts and notifications related to the treatment journey
Patient data protection
- Password protection ensures access only to HCPs and permitted staff
Click here to access the Provider Portal
Download, complete, and submit
You can download, complete, and sign the LIBTAYO Surround Enrollment Form with your patients and submit it by:
- Faxing to 1.833.853.83621.833.853.8362
- Uploading through LIBTAYO Surround DocuSend at patientsupportnow.org (code 8338538362)
Please make sure you and your patients sign where indicated on the forms.