A simple and transparent referral process
Refer a patient to Local Infusion in less than 5 minutes

Send us the referral order
Complete and send us:
- Signed order form
- Supporting clinicals

And we handle the rest
Our team will take care of:
- Prior authorization
- Financial assistance & counseling
- Scheduling the patient appointment
- Provide an incredible patient experience
- Post treatment follow up
- And keep you updated along the way
Get the referral process started today
We’ll send a confirmation email so you can download a copy for your records.
You can download therapy-specific order forms here.
Already submitted an order form and looking to submit additional instructions or clinical documentation?
Access our secure document upload here.
Local Infusion accepts coverage from the following health insurances
We’re committed to financial transparency. No surprise bills or hidden costs, and financial assistance support for every eligible patient. We do what it takes to minimize your costs.

