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Design Element

Make a Referral

Make a Referral

At Infusion Solutions, we want to make referrals as simple as possible for the entire healthcare team. 

Send a patient referral in one of two ways:  

  1. Submit digitally and fax a signed copy to (360) 933–1197.
    You will receive a confirmation email and downloadable copy for your records. Please note that a wet signature and faxed copy are required by Washington State law. A referral coordinator will contact you if a wet signature is not received.
  2. Download, fill, and fax a therapy specific order form from below to (360) 933–1197. 

How it works:  

 Send us a completed referral order:  

  • Signed order form 
  • Supporting clinicals 

We take care of the rest:  

  • Prior authorization with patient’s insurance 
  • Financial assistance & counseling 
  • Clinical review by our expert pharmacy staff 
  • Patient scheduling 
  • Wonderful patient infusion experience 
  • Continued clinical follow up 
  • Transparency and updates throughout the process for your office