The ProVital® Support Program
by AMGEN Entrust Patient Support Services*

Start and stay with the ProVital Support Program

More About ProVital®

Down arrow


The ProVital Patient Support Program provides your patients with:

Next injection reminders

Nurse-led telephone or virtual self-injection training

Product information and support (triage to Amgen MedInfo)

Eductional resources

Your office may receive an optional adherence summary report for all your patients on Prolia; simply call ProVital at 1-877-776-1002 or email

Start and stay with the Provital®
Support Program

Enrol your patients at the time of prescription using the fax enrolment form and they will receive the benefits of ProVital® within one business day.

* AMGEN Entrust is our unified patient support services platform, built on the legacy of our branded support programs.

Access the online registration form
download fax
enrolment form
These are some questions and answers you can expect from your patients when initiating starting them on Prolia®
LEARN MORE in our faqs Arrow Image

ProVital Enrolment Form

Prescriber Information

Please provide Prescriber Full Name
Please provide prescriber information.
Please input address.
Please select province option.
Please input postal code.
Please input prescriber phone.

Patient Information

Please input first name.
Please input last name.
Please input address.
Please select province option.
Please input postal code.
Please input phone number.
Please input phone number.
Please provide first injection date.
Please provide patient digital signature.
Please provide signature date.


You are now leaving the website.

The linked sites are not under the control of Amgen, and Amgen is not responsible for the content available on the linked sites. Such links do not imply Amgen's endorsement of material on any other site, and Amgen disclaims all liability with regard to your access to such linked websites. Amgen provides links to other Internet sites as a convenience to users, and access to such linked sites is at your own risk.

Do you want to link to our other external sites and leave

You are now leaving the website. Please note that the information you are about to view may not comply with Canadian regulatory requirements. Marketing authorizations and availability of products may differ between Canada and other countries.