Transition Support Enrollment

The Transition Support Program helps to verify health plan coverage and identify follow-up care providers for patients.

  1. Download the form and type in your information on-screen.
  2. Print the completed form and obtain signature of patient or caregiver.
  3. Fax form to ARISTADA Care Support at 1-844-464-7171.
  4. ARISTADA Care Support will call and fax back a summary of your patient’s benefits as well as potential follow-up care providers.

Transition Support Program Enrollment Form

With enrollment, the ARISTADA Care Support staff can investigate insurance coverage, help identify potential sites for follow-up care, and provide appointment confirmations and reminders, if needed.