The purpose of this website is to allow patients and their caregivers to electronically sign the Access 360 Patient Authorization Form (PAF), providing consent to allow Access 360 as well as employees, contractors, or affiliates of AstraZeneca that perform access support to have Protected Health Information (PHI).

Questions regarding the Access 360 program or the Access 360 Patient Authorization Form?

Contact us at:
Phone: 1-844-ASK-A360 (1-844-275-2360)
E-mail: access360@astrazeneca.com