REFER YOUR PATIENT TO US
OPTION 1:
Find your requested infusion treatment below and click “FILL AND SIGN” to complete our HIPAA-compliant order form online. Easily upload patient labs / insurance information and click SUBMIT!
OPTION 2:
Find your requested infusion treatment below and click “DOWNLOAD FORM.” Complete the order form and fax it back to us with patient labs / insurance information.
Fax Number: 972-810-0994
NEXT STEPS:
After we receive the order form and patient information, we will handle all other details involving the patient’s infusion therapy treatment.
FOLLOW-UP:
We will keep you and your office updated on the patient’s status throughout the insurance approval process and during /after the course of infusion treatment
MEDICAL INFUSION THERAPY
ORDER FORMS
Our therapy-specific order forms are below. Please note that we routinely update our forms to comply with new insurance requirements. To inquire about a specific therapy not listed below, please feel free to contact us or complete a blank order form. We can also email, fax or deliver forms directly to your office!
BIOLOGIC FORMS
INSPIRE
At InfusionMed USA, we believe in empowering you with the knowledge to care for your body effectively.
Supervised by a medical director and supported by skilled nurse practitioners, our state-of-the-art infusion center offers outpatient IV therapy treatments. We take pride in delivering top-notch customer service, medical expertise, and an unwavering commitment to your health.
Take the first step towards feeling better and experiencing the difference at InfusionMed USA, where your healing and well-being come first!
Ready to take charge of your well-being?
Book Your Appointment Now!
TESTIMONIALS
Raving Reviews from Real Patients
"Highly impressed with InfusionMed USA's top-notch facilities and exceptional care. Their modern infusion center boasts reclinable chaise lounges, iPads & Earbuds, and 24 hour services, creating a comfortable and relaxing environment. The custom infusion therapy options, along with medical and vitamin infusions, cater to individual needs. Conveniently located in Carrollton, Frisco, The Colony, McKinney, and Dallas, they ensure access to quality care. A fantastic experience - I feel rejuvenated and grateful for their dedicated team. Highly recommend InfusionMed USA for anyone seeking advanced infusion therapies!"
Sarah T
"Absolutely thrilled with my experience at InfusionMed USA! Their modern infusion center is top-notch, with a relaxing ambiance and all the amenities you could ask for - reclinable chaise lounges, iPads, Earbuds, and refreshments. The custom infusion therapy options met my specific needs perfectly, and the medical and vitamin infusions left me feeling revitalized. The convenience of their multiple locations in Texas along with their 24/7 services, truly sets them apart. The caring staffs made me feel at ease throughout the entire process. Highly recommend!"
Jason M
"InfusionMed USA exceeded all my expectations! The state-of-the-art medical infusion center is simply fantastic, offering a soothing environment with modern amenities like reclinable chaise lounges, iPads, Earbuds, and refreshments. The custom infusion therapy provided personalized care that addressed my unique health concerns. The vitamin infusions worked wonders on my well-being. The availability of their 24 hour services is a game-changer, and the multiple locations in Texas make it incredibly convenient. Kudos to the team for their dedication to patients' health and comfort!"
Emily R
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