Genentech Access Solutions
We understand the many challenges you may be facing during these
difficult times. Getting your prescribed medicines should not be one
of them. If you are concerned about paying for your Genentech
medicine, please call our Patient Resource Center at (877)
436-3683.
Ready to Enroll?
Fill out the Patient Consent Form and
send it to Genentech Access Solutions to get started. The form can be
submitted in any of these 3 ways:

Text a photo
Take a photo of your signed form and text it to Genentech Access Solutions

Submit online
Fill out and submit the form online

Download and fax
Fax your completed and signed form to Genentech Access Solutions