Health care should be accessible by all Canadians. That’s why Bayshore Specialty Rx partners with pharmaceutical manufacturers to connect your patients to the support they need, when it matters most.
Please select and complete one of the forms listed below to enrol your patient in a Bayshore patient support program.
- Pfizer Liaison Patient Support Program – Enrolment and Consent Form (Physician-initiated)
- Pfizer Liaison Patient Support Program – Enrolment and Consent Form (Drug Access Navigator-initiated)
Bayshore and its pharmaceutical partners are committed to respecting patient privacy. The Personal Information (PI) collected on the enrolment forms will be maintained in strict confidence and will not be disclosed to third parties, other than those engaged to fulfill the purposes of patient support program or as permitted or required by law.