Patient Resources
HIPAA Release Form
This form authorizes Accord Specialty Pharmacy to use or disclose your protected health information. All submissions are processed securely.
Forms & Documents
Patient Resources
Patient Handout
An overview of Accord's services, what to expect, and how we support your specialty medication journey.
Download PDFPatient Satisfaction Survey
Share your feedback to help us continue improving your specialty pharmacy experience.
Complete SurveyHIPAA Release Form
Authorize the release of your protected health information to Accord Specialty Pharmacy.
Complete Form