Send in your completed Patient Assistance Form with the requested information using one of the three options below.

Questions? Call 877.433.7626 ext.234

FAX:

248.548.0279

Please note in the Attention line
“PATIENT ASSISTANCE PROGRAM”

EMAIL:

cs@ferndalelabs.com

Please note in the Subject line:

“PATIENT ASSISTANCE PROGRAM”

MAIL:

Ferndale Pharma Group

Attn: Patient Assistance Program

780 West Eight Mile Rd

Ferndale, MI 48220