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 Preference

Spoken Rx® works with the CVS Pharmacy app, allowing you to read prescription labels using your smartphone. For customers who do not use a smartphone, a standalone reader device is also available. Learn more about the physical prescription reading device with Hadley.

How would you like to scan your Spoken Rx® prescription labels?

I will use the CVS Pharmacy app on my smartphone.I do not use a smartphone and would like a standalone reader device.

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.