For Providers: Submit a Referral

Infusion/Injection Therapy Order Forms

The referral process at infusion for Health is fast and easy. Please find our therapy-specific forms below. Note that Infusion for Health routinely updates our forms to adhere to new insurance requirements, so be sure to download the latest version. to inquire about a specific therapy not listed below, please contact us or complete the blank order form available here. We can email, fax, or deliver forms directly to your office.

We’re an Extension of Your Practice

When you refer your patients to us, you partner with an infusion provider committed to delivering unrivaled clinical care and improving treatment outcomes.

Like you, we are specialists in our field. We have decades of combined experience providing infusion therapy to patients with complex, chronic conditions. We also care for patients like you do. We give each patient personalized attention and ensure a safe, healing experience.

Providers Consistently Choose Us For Our Experience, Expertise and Excellent Care

We reduce providers’ administrative burden.
At Infusion for Health, we are experts at navigating the administrative complexities of infusion therapy. Our team checks the patient’s insurance benefits, verifies eligibility, and obtains authorization for infusion therapy treatment. Our experience and strong relationships with insurance carriers enable us to successfully advocate for your patients so that they can start infusion therapy quickly.

We help ensure patients have access to prescribed treatment.  We go the extra mile to minimize patients’ out-of-pocket costs. We find financial assistance, rebate, and other cost-savings programs to help make patients’ infusion treatment as affordable as possible.

We keep providers in the loop throughout each patient’s treatment program. After we obtain all insurance and cost information, we consult with the patient regarding his or her benefits and next steps. When we schedule the patient’s first infusion therapy appointment, we notify you and your team. We proactively share post-infusion clinical notes to help drive positive treatment outcomes.

We have demonstrated infusion expertise. We’re a seasoned team of infusion nurses and healthcare professionals. We have provided thousands of infusions and are one of the leading providers of adult and pediatric infusion care in Southern California. We administer over 45 brand and generic pharmaceuticals and biologics. Additionally, we continually monitor new infusion-therapy drug approvals and shortages to ensure patients have the broadest treatment offerings available. All of our practitioners adhere to strict safety protocols regarding dosing, administration, reporting, and follow-up care.

We prioritize patient care, comfort and convenience. We believe that patients with chronic conditions deserve a pampering infusion therapy experience. We want patients to look forward to infusion therapy and find each infusion session relaxing and rejuvenating. To achieve that goal, our team works hard to provide each patient with a white-glove, VIP experience. Learn more about our unique infusion therapy approach on our About Us page.