Submit a Referral
Our 5 ways to submit a referral
4. Secure Upload
Download Infusion Specialists' PDF referral forms for a specific condition or medication below, then upload the completed form with any necessary additional patient documentation.
5. General Referral Form
If there is a treatment not listed below for intravenous application please feel free to use our general referral form.
intake@infusionspecialists.org
FAX
+1 (208) 963-3245
SECURE UPLOAD
Download Infusion Specialists’ PDF referral forms for a specific condition or medication below, then upload the completed form with any necessary additional patient documentation.
GENERAL REFERRAL FORM
If there is a treatment not listed below for intravenous application please feel free to use our general referral form.
See our different treatments below
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