For referring providers

Refer a patient to Infuse Care

Fax a signed order and clinicals. We handle benefits, prior authorization and scheduling, and keep your office informed.

Fax referrals

(732) 960-3449

Questions

(732) 444-8808

Call for a form or help with a referral

Hours

Mon–Fri, 8:30–5:30

Closed weekends

Order forms

Find your form ↓

Fillable PDFs by medication

Order forms

Find the form by medication

Complete, sign and fax it with clinicals to (732) 960-3449. Don't see it? Call (732) 444-8808.

How to Refer

  1. 1

    Get the order form

    Find the form for your patient's therapy above.

  2. 2

    Complete and sign

    Each form is a fillable PDF.

  3. 3

    Fax with clinicals

    Send everything to (732) 960-3449.

  4. 4

    We confirm receipt

    We'll let your office know it arrived.

What to include

Your referral packet

  • Signed order for the requested therapy
  • Patient demographics and contact information
  • Insurance card, front and back
  • Recent office notes supporting the diagnosis
  • Labs or tests the therapy requires

Quick downloads

Everything in one place

All order forms ↓One combined PDFFax cover sheet ↓For additional records on a patient already referred

What happens next

Once your fax arrives, we take it from there

We confirm receipt

We let your office know the referral arrived and ask for anything that's missing.

Benefits & prior authorization

We verify coverage and handle prior authorization with the payer.

Patient scheduling

We call your patient to welcome them and book their first visit.

Updates to your practice

We send treatment notes back to your office after each infusion.