☐ Hard or soft EPCS Token (recommended to have at least two tokens) *

• Hard token: Keychain device provided by DrFirst
• Soft Token: VIP Access by Symantec can be downloaded on a mobile phone, tablet, or computer at Symantec VIP

☐ Social Security Number *
☐ You will have to create a passphrase that is a minimum of 8 characters with at least on capital letter, one lowercase letter, and a number during the enrollment process *

• A passphrase is necessary for the two-factor authentication step required for sending controlled substance prescriptions
• It is highly recommended you write down the passphrase to save in a secure location

☐ You will have to create a security question and answer (necessary for resetting you passphrase) *

• Example: Mother's maiden name or make/model of your first car
• Security answers are case sensitive so note down your security question and answer exactly as you entered it

☐ Valid personal phone number (mobile or residential; must be associated with home address)

Note:   If your mobile phone number can be validated, you may receive your transaction ID instantly by SMS text message. Alternatively, you will receive a letter via USPS mail (takes approximately 5-6 business days).

☐ First eight digits of a personal credit card (VISA or MasterCard) -- No business or debit cards. This information is NOT MANDATORY and can be omitted