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Referral
To refer a patient:
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Download the referral form specific to the therapy. If there is not one available, download the "Generic Referral Form."
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Complete the referral form
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Fax the completed referral form along with requested documentation to (866)542-8631
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Upon receipt, our team will handle the infusion therapy treatment process and contact your office should any issues arise and keep you updated of the insurance authorization process.
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Feel free to call us if you have any questions or concerns
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This is not a comprehensive medication list, please reach out to us for specific questions
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