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Register yourself or your practice for the pfizer dermatology patient access hcp portal by completing, printing, and faxing this form. By signing and dating this form, i give my permission for my physicians, pharmacies, laboratories, and other healthcare providers (“healthcare. Complete, print, and fax to register to enroll patients in pfizer dermatology patient accesstm via the hcp portal. Download the fillable pdf for insurance and pfizer patient support.