How to Enroll

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NOT ACTUAL PATIENTS

If you are interested in enrolling in ORMALVI (dichlorphenamide) tablets, download the enrollment form below and share it with your doctor to discuss why you think ORMALVI may be suited to your needs.

Download form

If you have any questions the Cycle VitaTM team is only a phone call away.

A friendly, familiar team is waiting here at Cycle Vita, for you, at every step.
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Cycle Vita Logo With Strapline
A friendly, familiar team is waiting here at Cycle Vita, for you, at every step.

+1 (888) 360-8482