Completed order forms and supporting clinicals can be faxed to 1-855-healix2 (543.2592) [FPO} or uploaded {link or embed FORMSTACK Healix Site TBD} to our secured portal.
× Actemra® Step 1 Review our Referral Checklist. Download Checklist Step 2 Complete the therapy-specific Order Form. Fill Online –or– Download Order Form Step 3 Include Supporting Clinicals Review Clinicals Completed order forms and supporting clinicals can be faxed...
× Actemra® (tocilizumab) Step 1 The below checklist is designed to streamline the referral process. It is not required to submit a referral. Download Checklist *for reference, not required Step 2 Complete and submit the therapy-specific Order Form. Fill Online –or–...
