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Patient Enrollment FormComplete all fields to avoid processing delays. Fax completed form to: 1877FAXLYBV (18773295928). Questions? Call 1844LYBALVI (18445922584), 9 am8 pm (ET). Prescriber Signature(s)

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1. To fill out the online form, follow these steps:
2. Access the website or platform where the form is located
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4. Read the instructions and guidelines provided before starting
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6. Carefully review each section to ensure accuracy and completeness
7. If there are any specific format or character limits, adhere to them
8. Double-check all the entered information for any errors
9. Once all the fields are filled, click on the 'Submit' button
10. Wait for a confirmation message or email to verify successful submission
11. Keep a copy or record of the submitted form for reference or future use

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1. Online forms that require completion are useful for various individuals and organizations, including:
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