Referring a patient
is as easy as 1-2-3

Referring a patient is simple – select the therapy and product below to access the correct prescriber order form. Then, just follow three steps:

1

Download

Select a product from the list below and download the product order form.

2

Fill, Print & Sign

Complete the form on line or by hand, then print and sign the completed prescription.

3

Fax

Fax signed forms to the Option Care Health location most convenient for your patient.
Find Location

If the required therapy is not listed, please call us at 877-686-2622 or electronically prescribe the medication.

Women’s Health

Have questions about our services?

Have questions about our services? Please call us at 877-686-2622 or submit our Contact Form.

All Option Care Health pharmacies are able to accept electronic prescriptions (e-prescribing).
Prescriptions must be sent from licensed prescribers, accompanied by the patient’s insurance information and in accordance with your state prescribing laws.