Contact Information
- Enter the Name, Position Title, Phone Number, and Email for the Lead HCP primary point of contact.
- Enter the Name, Phone Number, and Email for the application Project Manager.
- These individuals should be prepared to promptly provide responses with clarification and additional information if contacted about the application.
- Input the Mailing Address of the Lead HCP.
- Be sure to Save Draft after inputting this information in order for the form to update and show the Health Care Provider tab.