Treatment Order Forms
Provider Order Forms
Treatment Starts With a Referral
Our dedicated team is here to support you in providing optimal treatment through home infusion therapy.
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Referring patients to our infusion center is straightforward and efficient. You can find the treatment order forms below for your convenience.
Upon receiving your referral, our intake team will promptly review the information and handle insurance prior authorization. We recognize the significance of prompt access to care and strive to accommodate your patient’s needs to the best of our ability.
Referral Process Support
Contact Us for Assistance
Should you have any inquiries or require assistance with the referral process, please feel free to reach out to us. Our amiable staff is ready to offer assistance and guidance throughout every phase of the process.
We appreciate your trust in us to care for your patients. We eagerly anticipate collaborating with you to ensure the optimal outcomes for individuals in need of infusion therapy.
Effortless Referral Process
At most hospitals statewide, Intramed Plus can access Epic. Through this platform, an Intramed Plus team member can quickly and easily pull referral information from the patient’s electronic healthcare record.
We value your partnership in delivering comprehensive, compassionate care, and we look forward to working together to enhance the well-being of your patients.