Please utilize this page to upload your enrollment documents. This may include enrollment forms, a copy of your valid photo ID, or any other documentation your CRX International representative has asked you to submit. Your documents will be securely uploaded over a full encrypted and secure connection.
Please Note: We accept original prescriptions by mail from the prescriber or from the member. We only accept faxes directly from the prescriber’s office.
MAIL: CRX International, PO Box 3009, Windsor, Ontario Canada N8N 2M3
FAX: 1-866-215-7874
Valid forms of government issued photo IDs include:
- Driver’s License (Issued within U.S. including U.S. Territories)
- Non-Driver Photo ID (Issued within U.S. including U.S. Territories)
- U.S. Passport
- U.S. Military ID Card