Refer a Patient

Option Care Health delivers a rapid response to referrals and quick turnaround for coverage verification with 24/7 support for providers and patients from specially trained infusion nurses and pharmacists.

An Option Care Health representative will contact you within two business days.

Refer a Patient

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Your First and Last Name

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Dr. First Name

Dr. Last Name

Dr. Email

Dr. Phone

Job Title

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Patient Name

Patient Date of Birth

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Hospital or Practice Name

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Please complete the form above or call 844.624.4584 for assistance.

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