For Providers
Referral Forms

Healthcare providers can use the below referral forms to submit a patient order.
Completed order forms and supporting clinical documentation can be faxed to (833) 786-0025 or uploaded to our secured portal. We’ll take care of the rest.
Questions? Give our team a call at (800) 958-4042. We’re happy to help!
To inquire about a specific therapy, contact us.
Our Approach to Infusion Care
At our centers, we take pride in the quality of care and training that each member has undergone.
Refer a Patient
Healix Infusion Care is the best choice for patients requiring outpatient infusion or injection therapy to manage acute and complex chronic conditions.