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Submit A Patient Referral.

Considering sending one of your patients to Oasis Family Health for a trusted IV therapy treatment? Our referral process is simple.

Download Form

Pick the therapy-specific order form below.

Compile Documents

Add patient demographics, insurance, and any labs.

Send To Us

Fax the signed form to 845-827-1272.

Browse order forms

Provider Forms

Healthcare providers should use our therapy-specific order forms below. Fax completed documents to 845-827-1272.

No form matches that search. Call (845) 827-3528 or fax us and we’ll send it over.

Oasis Family Health’s Referral Process

Download Form

Choose and download one of the above forms best suited for your patient’s specific therapy needs. If you cannot download them, contact us and we can email or fax the forms to you.

Compile Documents

Gather patient demographic data, proper insurance information and any necessary lab results for the therapy you are prescribing.

Send To Us

Fax the completed and signed order form, along with supporting documents, to 845-827-1272.

Lets get started try our service

Call To Schedule

Confirmation

We got it.

Our team will reach out within one business day to answer any questions and get you scheduled.

What happens next

Today

We review your message

Our team reviews your inquiry and the service you are interested in.

1 business day

We reach out

A team member calls or emails to answer your questions and get you scheduled.

At your visit

Clinician-led care

An NP or RN places every drip and looks after you start to finish.

Want us sooner? Call (845) 827-3528.