Speech bubbles with question mark and text

Thank you!

Your request was submitted. An FRM will contact you at the email address or phone number you provided within 2-3 business days.

Return Home

Submit your completed enrollment form via fax to 1-855-298-8700.

If you'd like to connect with a live Support Path program specialist by phone, call 1-855-7-MYPATH (1-855-769-7284), Monday–Friday, 9 AM to 8 PM ET.