Submit a Referral

At Infusion for Health, referring your patients is simple. Once we receive your referral, our team manages the insurance, scheduling, and coordination — keeping your office informed at every step. The result: less administrative work for your staff and faster access to care for your patients.

A Streamlined Process for Providers

Our intake specialists verify benefits, obtain authorizations, and work directly with payers. Because we are contracted with most major insurance carriers, we can move quickly to secure approvals and reduce delays.

How to Refer

Submit completed order forms by:

Email: intake@infusionforhealth.com

Fax: (805) 852-2636

Online: Provider Portal

E-Prescribe: Locate “I4H Pharmacy” in your e-prescribe platform

Ready to refer?

Complete the order form and let us handle the rest.

I4H Pharmacy: 11705 Slate Ave., Suite 100, Riverside, CA 92505

SSID# CRT56697461122609708

Infusion & Injection Therapy Order Forms

Download the therapy-specific form you need here. If you don’t see a therapy listed, contact us and we’ll be happy to assist.

Whether using our drug form or E-Prescribe, please be sure to include:

Patient demographics

Diagnosis Code(s)

Patient notes (including all previous therapies)

Lab test results if applicable

What Happens Next

After receiving your referral, we:

Verify benefits and secure authorizations

Update your office on approval status

Assist patients with co-pay and financial resources as needed

Schedule and confirm infusion appointments directly with the patient

Provide post-infusion clinical notes and updates

Partner With Us

Referring to Infusion for Health means partnering with a team that shares your commitment to improving outcomes and delivering compassionate care. Together, we can ensure that your patients not only receive the therapies they need — but also feel cared for at every step of their journey.

Need Help?

Call us, and a member of our team will walk you through the process.

Need Help?

Call us, and a member of our team will walk you through the process.

Infusion For Health
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