Submit a Referral

Fill Online: Our list below has digital forms through DocuSign; please upload any documentation there. 
 

Email: intake@infusionspecialists.org

FAX: +1 (208) 963-3245

SECURE UPLOAD

Download Infusion Specialists’ convenient fillable PDF referral forms for a specific condition or medication below, then fax or email them to our office along with the necessary patient documentation. Our team will verify the patient’s insurance coverage and work through the prior authorization process if needed.