Referral Forms

At Infusion Solutions, we want to make referrals as simple as possible for the entire health care team.  Please choose from our referral forms below and fax the necessary information to us at (360) 933 - 1197 to facilitate a swift and easy referral process.

If you would like us to create a customized order form that would better meet the needs of your practice, please let us know and we would be happy to accommodate that request.

General Infusion Therapy Referral Form

Antibiotic Referral Form

Total Parenteral Nutrition (TPN) Referral Form

Remicade Referral Form

IVIG Referral Form

Stelara Order Form

Reclast Referral Form

Iron Infusion Referral Form

Solu-Medrol Referral Form

Hyperemesis Referral Form

Octreotide Referral Form

Patient Controlled Analgesia Referral Form

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