Thank you for referring your patients to Origin! 🎉
To ensure we’re able to accept your patient’s prescriptions, please…
- Select the state in which you treat from the list of available states below
- Download the prescription form provided for your state– this can not be substituted for another form, since each state has different requirements
- Review the form’s instructions (in red) before completing it
New York (NY)
Not sure how to refer patients in your state? Email firstname.lastname@example.org.