Enroll now in STELARA withMe

Sign up below and your own dedicated STELARA withMe Nurse Navigator* will reach out to you. Want to talk to someone sooner? Call us at 1-844-494-8463.

*Nurse Navigators do not provide medical advice.

Patient Information

STELARA withMe is limited to education about STELARA®, its administration, and/or the condition it treats. It is not intended to provide medical advice, replace a treatment plan you receive from your doctor or nurse, or serve as a reason for you to start or stay on treatment.

The information you provide will be used by Johnson & Johnson Health Care Systems Inc., our affiliates, and our service providers for enrollment and participation in the STELARA withMe program. Our further governs the use of the information you provide.

You may request to discontinue your participation in STELARA withMe by calling 1-844-494-8463. By providing your information below, and signing and submitting the Janssen Patient Support Program Authorization Form, you indicate that you have read, understand, and agree to these terms.

All Fields Required

Have you been prescribed STELARA®?

Yes

First Name

Last Name

Date of Birth (mm/dd/yyyy)

You must be 18 years or older to be eligible for this program.

Address

Apartment or Suite Number

ZIP Code

City

State

Phone Number

Preferred Email Address

Communication Preferences (optional)After you sign up, a Nurse Navigator will contact you in 1 to 2 business days. If you want to talk to someone immediately, please call 1-844-494-8463.

Select a preferred day/time

Clicking on the NEXT button will take you to the Patient Authorization form. This form must be reviewed, completed, and signed in order to enroll in the STELARA withMe program.