Referrals

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.

NameSize
F302 - Remicade Physician Order Form115.7 KiB
F303 - IVIG Physician Order Form113.5 KiB
F304 - Antibiotic Physician Order Form33.8 KiB
F306 - TPN Physician Order Form36.7 KiB
F307 - Zoledronic Acid Physician Order Form95.3 KiB
F309 - Iron Physician Order Form94.4 KiB
F310 - Solu-Medrol Order Form31.9 KiB
F311 - Infusion Solutions Referral Form334.4 KiB
F313 - Stelara Order Form75.6 KiB
F318 - PCA Order Form33.7 KiB
F319 - Octreotide Order Form31.6 KiB
F325 - Hyperemesis Referral Form399.2 KiB
F334 - Intrathecal Pump Order Form37.3 KiB
F344 - DHE Referral Form312.0 KiB