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Web four simple steps to submit your referral. Skyrizi ™ (risankizumabrzaa) fax completed form to 888.302.1028. Complete the enrollment & prescription form on page 5. Download and fill out the skyrizi complete enrollment and. Web the categories of personal information collected in this enrollment and prescription form include contact, insurance,. 1 patient information please provide copies of front and back of all medical and. Web skyrizi complete enrollment and prescription form. Web prescription & enrollment form: