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By completing the contact form above and clicking "Submit", you provide an electronic signature agreeing to the following: "I consent to receive text messages about prescription assistance options, (which may be auto-dialed, use artificial or pre-recorded voices, and/or be text messages) from Advocates for America LLC and their representatives to the telephone number(s) I have provided. My telephone company may impose additional charges for messages. I may revoke my consent to receiving messages at any time. By submitting my information, I confirm that I understand and agree to these terms. You will be directed to an enrollment representative or patient advocate who can answer your questions and provide information about Prescription Assistance options. You can reply STOP to opt out at any time. Reply HELP for HELP. Message frequency varies. Msg & data rates may apply. View our Privacy Policy and Terms of Use.