Information Starts Here:
1: To Start the process: Please fill out the Enrollment request form below. We are being delayed
due to phone calls asking questions that are answered in the Enrollment Packet.
2: When we receive your request for Enrollment you will be sent an Enrollment Packet
within 1 - 7 days.
READ the Enrollment Packet!!
4: If out the enrollment packet on screen, save and submit. We only take the original PDF format.
No images of any type. The file should be less than 15MB.
returned Enrollment Packet will be reviewed for completeness by Pre-Enrollment. Once accepted you will be
sent an email by Pre-enrollment when your application is reviewed by Medical.
6: Not all cases are accepted. If medically accepted, you will be called by Enrollment
to start the process of ordering your labs.
in states without a Millennium-TBI Network provider will need to locate someone to prescribe any medication. We
have Florida, Texas, and California licensing.
understand that calling and emailing us will delay everyone getting enrolled. For this reason we have provided extensive
information in our Enrollment Packet so please read them.