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The Leukemia and Lymphoma Society Co-pay Assistance · PDF file · 2015-11-18The Leukemia and Lymphoma Society Co-pay Assistance Program . ... Welcome to the Leukemia & Lymphoma Society

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Page 1: The Leukemia and Lymphoma Society Co-pay Assistance · PDF file · 2015-11-18The Leukemia and Lymphoma Society Co-pay Assistance Program . ... Welcome to the Leukemia & Lymphoma Society

The Leukemia and Lymphoma Society Co-pay Assistance

Program

Patient Portal: Registration

Please Note: The Registration requirements and process have not changed, however the portals have a new and improved look. This tutorial is designed to acquaint you with the new layout.

Page 2: The Leukemia and Lymphoma Society Co-pay Assistance · PDF file · 2015-11-18The Leukemia and Lymphoma Society Co-pay Assistance Program . ... Welcome to the Leukemia & Lymphoma Society

Go to http://www.lls.org/copay

Click online portal

New Registration: Patients

Page 3: The Leukemia and Lymphoma Society Co-pay Assistance · PDF file · 2015-11-18The Leukemia and Lymphoma Society Co-pay Assistance Program . ... Welcome to the Leukemia & Lymphoma Society

Click Patient Register

New Registration: Patients

Page 4: The Leukemia and Lymphoma Society Co-pay Assistance · PDF file · 2015-11-18The Leukemia and Lymphoma Society Co-pay Assistance Program . ... Welcome to the Leukemia & Lymphoma Society

Registration – Fill in all required fields

New Registration: Patients

Page 5: The Leukemia and Lymphoma Society Co-pay Assistance · PDF file · 2015-11-18The Leukemia and Lymphoma Society Co-pay Assistance Program . ... Welcome to the Leukemia & Lymphoma Society

To receive email updates of current LLS news like fund openings and closings you must check this box

Once complete, then click submit

New Registration: Patients

Page 6: The Leukemia and Lymphoma Society Co-pay Assistance · PDF file · 2015-11-18The Leukemia and Lymphoma Society Co-pay Assistance Program . ... Welcome to the Leukemia & Lymphoma Society

Successful Submission. Email sent to you.

New Registration: Patients

Page 7: The Leukemia and Lymphoma Society Co-pay Assistance · PDF file · 2015-11-18The Leukemia and Lymphoma Society Co-pay Assistance Program . ... Welcome to the Leukemia & Lymphoma Society

Receive confirmation email. Open your email, and click Confirm Registration.

Click Confirm Registration

Quick Tip Password only good for 24 hours

New Registration: Patients

Page 8: The Leukemia and Lymphoma Society Co-pay Assistance · PDF file · 2015-11-18The Leukemia and Lymphoma Society Co-pay Assistance Program . ... Welcome to the Leukemia & Lymphoma Society

[email protected]

Enter your password twice

[email protected]

New Registration: Patients

Page 9: The Leukemia and Lymphoma Society Co-pay Assistance · PDF file · 2015-11-18The Leukemia and Lymphoma Society Co-pay Assistance Program . ... Welcome to the Leukemia & Lymphoma Society

Password Accepted message Click login

New Registration: Patients

Page 10: The Leukemia and Lymphoma Society Co-pay Assistance · PDF file · 2015-11-18The Leukemia and Lymphoma Society Co-pay Assistance Program . ... Welcome to the Leukemia & Lymphoma Society

Now you can Login

Quick Tip You can reset your password on this page

New Registration: Patients

Page 11: The Leukemia and Lymphoma Society Co-pay Assistance · PDF file · 2015-11-18The Leukemia and Lymphoma Society Co-pay Assistance Program . ... Welcome to the Leukemia & Lymphoma Society

Leukemia & Lymphoma Society Co-pay Assistance Program

P.O. Box 12268 Newport News, VA 23612

Phone: (877) 557-2672

Fax: (877) 267-2932

Internet: www.lls.org/copay