All infusion referrals will be accepted during normal business hours: M-F, 8:30 AM–5:00 PM. Any referrals sent outside normal business hours will be addressed the next business day.

Please call in referrals outside of normal business hours and our on-call staff will be able to assist you.

A paper form is also available if you would like to fax us a referral at:  (315) 580-4297

Our clinical team empowers our patients to manage their disease process and become independent with therapy in an effort to achieve the highest quality of life.

Three Easy Ways to Refer:

877-286-0800 x6018

FAX (315) 580-4297

[email protected]

Have a question for our infusion intake team?

Ask Our Intake Team

Referral Process Overview

Referral Process

Here is what we need:

1. Patient Demographics & Insurance information

2. Diagnosis

3. H&P, 2-3 Progress Notes, Patient’s Height & Weight, Allergies, Labs and/or tests to support the diagnosis

4. Scripts for drug(s), flushes, and any necessary pre-medications. Anaphylactic orders for 1st dose.

Our Infusion Referral Forms:

Looking for a specific modality? Find the right form you need here. Click on any form you need to open it and fill it out electronically.

Infusion

General Infusion

Enteral

Enteral

Specialty

IG Therapy

TNF Blocker Therapy

Biologics Home Infusion

Bilogics-Home-Infusion-Referral-Form_MD193_Rev5.2023

Pediatric Anti-TNF Infusion

Looking to make a Respiratory Referral?

Respiratory Referrals

Insurances we par with:

Including but not limited to the following, please call for any clarifications.

  • AARP
  • Aetna
  • Anthem/BCBS Empire Plan
  • BCBS of WNY
  • CDPHP
  • Cigna
  • Excellus/BCBS
  • Excellus Federal Plans
  • Fallon Health
  • Fidelis
  • Highmark BCBS
  • Humana
  • ICircle
  • Independent Health
  • Medicaid
  • Medicare
  • Molina Healthcare
  • MVP
  • Nascentia Health Options
  • UHC Empire Plan
  • Univera
  • Wellcare