Send An Infusion Order
Referring to Optimum Infusion is designed to be simple and direct. Submit your order along with relevant clinical documentation, recent labs, and insurance information. Our intake team will initiate verification and coordinate next steps with your office.
Filtering therapies for
Venofer
Please include the following information when submitting a referral for Venofer:
- Most recent lab results
- Patient has iron deficiency anemia, chronic kidney disease and is over 2 years of age
Forms
How To Submit An Infusion Order
Providers may submit orders by email, fax, or by direct phone contact with our referral desk.
- Download, complete, and save all forms above (Adobe Acrobat recommended)
- Attach and email all signed forms to [email protected]
Fax
- Print, complete, and sign all forms above.
- Fax all signed forms to (505) 420-4848
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