Refer A Patient
We Handle the Rest
Referring a patient to Vivo Infusion® is simple. Just complete and fax the appropriate referral form to the fax number for your state, which you will find in the referral form footer. Our dedicated care team will take it from there.
- Insurance Verification – We handle all benefit checks and prior authorizations.
- Seamless Coordination – Our team works closely with your office and the patient to ensure a smooth process.
- Ongoing Communication – We keep you informed with clinical updates and treatment notes.
Treatment Referral Forms
Click on a treatment below to download PDF.
- Actemra®
- Adakveo®
- Amvuttra®
- Apretude
- Aralast® NP
- Benlysta
- Bivigam®
- Boniva®
- Briumvi®
- Cerezyme®
- Cimzia®
- Cinqair®
- Cinryze®
- Crysvita®
- Elaprase®
- Elelyso®
- Elfabrio®
- Entyvio®
- Evenity®
- Evkeeza®
- Fabrazyme®
- Fasenra®
- Gammagard Liquid®
- Gamunex®-C
- Givlaari®
- Glassia®
- HyQvia®
- Ilaris®
- Ilumya®
- Imfinzi®
- Intralipid
- Jemperli®
- Keytruda®
- Kisunla™
- Krystexxa®
- Lemtrada®
- Leqembi®
- Leqvio®
- Loqtorzi®
- Lumizyme®
- Nexviazyme®
- Nucala
- Nulojix®
- Ocrevus Zunovo™
- Ocrevus®
- Octagam®
- Omvoh®
- Onpattro®
- Opdivo Qvantig™
- Opdivo®
- Opdivo® + Yervoy®
- Opdualag™
- Orencia®
- Oxlumo®
- Pombiliti® + Opfolda®
- Privigen®
- Prolastin®-C
- Remicade®
- Renflexis®
- Rituxan®
- Rystiggo®
- Rytelo™
- Saphnelo®
- Simponi Aria®
- Skyrizi®
- Soliris®
- Solu-Medrol®
- Spevigo®
- Stelara®
- Tecentriq Hybreza™
- Tecentriq®
- Tepezza®
- Tevimbra®
- Tezspire®
- Thyrogen®
- Tofidence™
- Tremfya®
- Tyenne®
- Tysabri®
- Ultomiris®
- Uplizna®
- Viltepso®
- Vyepti®
- Vyvgart®
- Vyvgart® Hytrulo
- Xenpozyme®
- Xolair®
- Yervoy®
- Zemaira®
- Zoledronic Acid