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Referral forms

Download the FlexCare fillable referral form, then fax or email with patient documents. We verify insurance and handle prior authorization.

Conditions and protocols forms

Conditions

FlexCare administers FDA-approved medications to treat the following conditions and more:

Protocols 

Patients can experience the FlexCare difference from the comfort of their home. FlexCare Home Infusion provides in-home infusion therapy treatment for patients with rare, chronic and complex conditions. 

Drug referral forms

H-O

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