Compass Online Service Request Form
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**NOTE: It may take 3-5 business days for your case manager to review your Compass Online Service Request form before contacting you. If you need immediate assistance within the next 1-2 business days, please call Compass at 844-COMPASS (844-266-7277). If this is a medical emergency, please call 9-1-1.

You will be prompted to electronically sign consent at the end of the Compass Online Service Request form to allow the case manager to work on behalf of the person with CF. At this time, only individuals with CF over the age of 18 and parents, or legal guardians may complete this form. If you are a healthcare provider, a spouse of a person with CF, or other caretaker for a person with CF and would like assistance, please call us. 

You may need some, or all, of the following documents to complete the form:

  • Insurance card(s)
  • Provider information
  • List of medications and devices, including name, dosage, and frequency
  • Estimated annual household income and household size

  • Supporting documents such as insurance plan details, list of covered drugs, or copy of bills

It will take you less than 10 minutes to fill out and submit your request through this online portal.

You have 60 minutes to submit the form before the form will time out, and all unsaved data will be lost.

If you are not a United States resident, please call Compass at 844-COMPASS (844-266-7277).

  • Previous users: Log in with your username and password.
  • First-time users: Create a new account by going to the login page, selecting "Sign up," then entering your information. A confirmation email will be sent to complete your account creation. Once logged in, please click on the CFF Compass icon to submit a new request.
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