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
Don’t see what you’re looking for? Fill out our “General Order Form” above or Contact Us
See our different treatments below
Don’t see what you’re looking for? Contact Us