Request Spoken Rx® Registration

To get started please fill out the form below. Once your request is submitted a member of our pharmacy team will contact your CVS Pharmacy to get you registered for Spoken Rx®. If you cannot complete the form below you can call or visit your local CVS pharmacy to get started.

Request Details

*All fields are required.

Are you requesting enrollment for yourself or someone else?

MyselfSomeone else

Requester First Name

Requester Last Name

Patient Information

Patient First Name

Patient Last Name

Patient Date of Birth

MM/DD/YYYY

Patient Phone Number

###-###-####

Patient Email

What's the best contact method to reach the patient?

Phone CallEmail Either phone call or email

Pharmacy Information

In what city is the pharmacy located?

Provide phone number or street address

Pharmacy Phone Number

111-111-1111

Pharmacy Street Address

e.g. 1234 Main Street

Spoken Rx Reader Device

You will be able to read your spoken Rx labels with the CVS Pharmacy Smart phone app, or with a standalone reader device if you don’t have a smart phone or need a physical device. Learn more about the physical prescription reading device with Hadley.

Would you like to receive a stand-alone prescription reader?

Yes, I would like to receive a physical reader device.No, I will use the CVS pharmacy app to scan my prescriptions.

Consent to Contact

By submitting this request, you consent to receive messages based on your choice (phone call, email or both) about the request.

Please be aware that e-mail is not a secure method of communication. This means by choosing to receive protected health information via e-mail, you accept the risk that some protected health information could be acquired by someone other than you.

If you're unable to provide a phone number or email address, please contact your CVS Pharmacy.

By submitting this request you acknowledge the Notice of Privacy Practices, and agree to our Terms of Use.