top of page

Referral
To refer a patient:
-
Download the referral form specific to the therapy. If there is not one available, download the "Generic Referral Form."
-
Complete the referral form
-
Fax the completed referral form along with requested documentation to (866)542-8631
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.
Feel free to call us if you have any questions or concerns
This is not a comprehensive medication list, please reach out to us for specific questions
bottom of page