• PHONE: 805-981-2500
    FAX: 805-981-8447

REFERRALS… Fast, Easy, Efficient

Referrals can be completed in 3 simple steps:

  1. CLICK HERE to download our easy-to-use Referral Form.
  2. Fill in Patient Demographics (Face Sheet), History and Physical (H&P), and Physician Orders.
  3. Fax the form to 805-981-8447
  4. Or call us at 805-981-2500 with your referral and we will be glad to take it over the phone.


We will call to verify that we received your referral (If you don’t hear from us in a timely manner, please give us a call to make sure we have received your form: 805-981-2500).

Once you have submitted the information, we will verify the patient’s benefits, obtain preauthorization if needed, and coordinate the delivery to the patient’s home.

That’s all there is to it!

What separates InfusionRx from the rest…

At InfusionRx, we pride ourselves on giving our patients and the medical community quality and efficient personalized service!

  • Pharmacist On-Call 24 Hours a Day / 7 Days a Week
  • Same Day Home Delivery / 7 Days a Week
  • Insurance Verification & Authorization
  • Coordinate All of Your Patient’s Home Care Needs
  • ACHC Accreditation
  • Local Based Company with Pharmacists who Live in Your Community


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