The OI referral process

Interested in sending an infusion referral to one of our centers?
Click the therapy below, and learn about our referral options.

Require another therapy? Contact us and we will get back to you promptly.
Actemra
Step 1

Download OI Referral Form

Download the OI Infusion Referral Form
Step 2

Download Specific Order Set for Therapy

Download Therapy Specific Order Set
Step 3

Fax or Email Forms to OI Infusion Services

Fax to 603-237-1250 or email outreach@oi-infusion.com
Aduhelm
Step 1

Download OI Referral Form

Download the OI Infusion Referral Form
Step 2

Download Specific Order Set for Therapy

Download Therapy Specific Order Set
Step 3

Fax or Email Forms to OI Infusion Services

Fax to 603-237-1250 or email outreach@oi-infusion.com
Benlysta
Step 1

Download OI Referral Form

Download the OI Infusion Referral Form
Step 2

Download Specific Order Set for Therapy

Download Therapy Specific Order Set
Step 3

Fax or Email Forms to OI Infusion Services

Fax to 603-237-1250 or email outreach@oi-infusion.com
Boniva
Step 1

Download OI Referral Form

Download the OI Infusion Referral Form
Step 2

Download Specific Order Set for Therapy

Download Therapy Specific Order Set
Step 3

Fax or Email Forms to OI Infusion Services

Fax to 603-237-1250 or email outreach@oi-infusion.com
Cimzia
Step 1

Download OI Referral Form

Download the OI Infusion Referral Form
Step 2

Download Specific Order Set for Therapy

Download Therapy Specific Order Set
Step 3

Fax or Email Forms to OI Infusion Services

Fax to 603-237-1250 or email outreach@oi-infusion.com
Cinqair
Step 1

Download OI Referral Form

Download the OI Infusion Referral Form
Step 2

Download Specific Order Set for Therapy

Download Therapy Specific Order Set
Step 3

Fax or Email Forms to OI Infusion Services

Fax to 603-237-1250 or email outreach@oi-infusion.com
Crysvita
Step 1

Download OI Referral Form

Download the OI Infusion Referral Form
Step 2

Download Specific Order Set for Therapy

Download Therapy Specific Order Set
Step 3

Fax or Email Forms to OI Infusion Services

Fax to 603-237-1250 or email outreach@oi-infusion.com
Dupixent
Step 1

Download OI Referral Form

Download the OI Infusion Referral Form
Step 2

Download Specific Order Set for Therapy

Download Therapy Specific Order Set
Step 3

Fax or Email Forms to OI Infusion Services

Fax to 603-237-1250 or email outreach@oi-infusion.com
Entyvio
Step 1

Download OI Referral Form

Download the OI Infusion Referral Form
Step 2

Download Specific Order Set for Therapy

Download Therapy Specific Order Set
Step 3

Fax or Email Forms to OI Infusion Services

Fax to 603-237-1250 or email outreach@oi-infusion.com
Evenity
Step 1

Download OI Referral Form

Download the OI Infusion Referral Form
Step 2

Download Specific Order Set for Therapy

Download Therapy Specific Order Set
Step 3

Fax or Email Forms to OI Infusion Services

Fax to 603-237-1250 or email outreach@oi-infusion.com
Fasenra
Step 1

Download OI Referral Form

Download the OI Infusion Referral Form
Step 2

Download Specific Order Set for Therapy

Download Therapy Specific Order Set
Step 3

Fax or Email Forms to OI Infusion Services

Fax to 603-237-1250 or email outreach@oi-infusion.com
IVIG
Step 1

Download OI Referral Form

Download the OI Infusion Referral Form
Step 2

Download Specific Order Set for Therapy

Download Therapy Specific Order Set
Step 3

Fax or Email Forms to OI Infusion Services

Fax to 603-237-1250 or email outreach@oi-infusion.com
Ilumya
Step 1

Download OI Referral Form

Download the OI Infusion Referral Form
Step 2

Download Specific Order Set for Therapy

Download Therapy Specific Order Set
Step 3

Fax or Email Forms to OI Infusion Services

Fax to 603-237-1250 or email outreach@oi-infusion.com
Krystexxa
Step 1

Download OI Referral Form

Download the OI Infusion Referral Form
Step 2

Download Specific Order Set for Therapy

Download Therapy Specific Order Set
Step 3

Fax or Email Forms to OI Infusion Services

Fax to 603-237-1250 or email outreach@oi-infusion.com
Lemtrada
Step 1

Download OI Referral Form

Download the OI Infusion Referral Form
Step 2

Download Specific Order Set for Therapy

Download Therapy Specific Order Set
Step 3

Fax or Email Forms to OI Infusion Services

Fax to 603-237-1250 or email outreach@oi-infusion.com
Leqvio
Step 1

Download OI Referral Form

Download the OI Infusion Referral Form
Step 2

Download Specific Order Set for Therapy

Download Therapy Specific Order Set
Step 3

Fax or Email Forms to OI Infusion Services

Fax to 603-237-1250 or email outreach@oi-infusion.com
Nulojix
Step 1

Download OI Referral Form

Download the OI Infusion Referral Form
Step 2

Download Specific Order Set for Therapy

Download Therapy Specific Order Set
Step 3

Fax or Email Forms to OI Infusion Services

Fax to 603-237-1250 or email outreach@oi-infusion.com
Ocrevus
Step 1

Download OI Referral Form

Download the OI Infusion Referral Form
Step 2

Download Specific Order Set for Therapy

Download Therapy Specific Order Set
Step 3

Fax or Email Forms to OI Infusion Services

Fax to 603-237-1250 or email outreach@oi-infusion.com
Onpattro
Step 1

Download OI Referral Form

Download the OI Infusion Referral Form
Step 2

Download Specific Order Set for Therapy

Download Therapy Specific Order Set
Step 3

Fax or Email Forms to OI Infusion Services

Fax to 603-237-1250 or email outreach@oi-infusion.com
Orencia
Step 1

Download OI Referral Form

Download the OI Infusion Referral Form
Step 2

Download Specific Order Set for Therapy

Download Therapy Specific Order Set
Step 3

Fax or Email Forms to OI Infusion Services

Fax to 603-237-1250 or email outreach@oi-infusion.com
Prolia
Step 1

Download OI Referral Form

Download the OI Infusion Referral Form
Step 2

Download Specific Order Set for Therapy

Download Therapy Specific Order Set
Step 3

Fax or Email Forms to OI Infusion Services

Fax to 603-237-1250 or email outreach@oi-infusion.com
Reclast
Step 1

Download OI Referral Form

Download the OI Infusion Referral Form
Step 2

Download Specific Order Set for Therapy

Download Therapy Specific Order Set
Step 3

Fax or Email Forms to OI Infusion Services

Fax to 603-237-1250 or email outreach@oi-infusion.com
Remicade & Biosimilars
Step 1

Download OI Referral Form

Download the OI Infusion Referral Form
Step 2

Download Specific Order Set for Therapy

Download Therapy Specific Order Set
Step 3

Fax or Email Forms to OI Infusion Services

Fax to 603-237-1250 or email outreach@oi-infusion.com
Rituxan & Biosimilars
Step 1

Download OI Referral Form

Download the OI Infusion Referral Form
Step 2

Download Specific Order Set for Therapy

Download Therapy Specific Order Set
Step 3

Fax or Email Forms to OI Infusion Services

Fax to 603-237-1250 or email outreach@oi-infusion.com
Ruxience
Step 1

Download OI Referral Form

Download the OI Infusion Referral Form
Step 2

Download Specific Order Set for Therapy

Download Therapy Specific Order Set
Step 3

Fax or Email Forms to OI Infusion Services

Fax to 603-237-1250 or email outreach@oi-infusion.com
Saphnelo
Step 1

Download OI Referral Form

Download the OI Infusion Referral Form
Step 2

Download Specific Order Set for Therapy

Download Therapy Specific Order Set
Step 3

Fax or Email Forms to OI Infusion Services

Fax to 603-237-1250 or email outreach@oi-infusion.com
Simponi Aria
Step 1

Download OI Referral Form

Download the OI Infusion Referral Form
Step 2

Download Specific Order Set for Therapy

Download Therapy Specific Order Set
Step 3

Fax or Email Forms to OI Infusion Services

Fax to 603-237-1250 or email outreach@oi-infusion.com
Soliris
Step 1

Download OI Referral Form

Download the OI Infusion Referral Form
Step 2

Download Specific Order Set for Therapy

Download Therapy Specific Order Set
Step 3

Fax or Email Forms to OI Infusion Services

Fax to 603-237-1250 or email outreach@oi-infusion.com
Stelara
Step 1

Download OI Referral Form

Download the OI Infusion Referral Form
Step 2

Download Specific Order Set for Therapy

Download Therapy Specific Order Set
Step 3

Fax or Email Forms to OI Infusion Services

Fax to 603-237-1250 or email outreach@oi-infusion.com
Tepezza
Step 1

Download OI Referral Form

Download the OI Infusion Referral Form
Step 2

Download Specific Order Set for Therapy

Download Therapy Specific Order Set
Step 3

Fax or Email Forms to OI Infusion Services

Fax to 603-237-1250 or email outreach@oi-infusion.com
Tremfya
Step 1

Download OI Referral Form

Download the OI Infusion Referral Form
Step 2

Download Specific Order Set for Therapy

Download Therapy Specific Order Set
Step 3

Fax or Email Forms to OI Infusion Services

Fax to 603-237-1250 or email outreach@oi-infusion.com
Tysabri
Step 1

Download OI Referral Form

Download the OI Infusion Referral Form
Step 2

Download Specific Order Set for Therapy

Download Therapy Specific Order Set
Step 3

Fax or Email Forms to OI Infusion Services

Fax to 603-237-1250 or email outreach@oi-infusion.com
Uplizna
Step 1

Download OI Referral Form

Download the OI Infusion Referral Form
Step 2

Download Specific Order Set for Therapy

Download Therapy Specific Order Set
Step 3

Fax or Email Forms to OI Infusion Services

Fax to 603-237-1250 or email outreach@oi-infusion.com
Vyepti
Step 1

Download OI Referral Form

Download the OI Infusion Referral Form
Step 2

Download Specific Order Set for Therapy

Download Therapy Specific Order Set
Step 3

Fax or Email Forms to OI Infusion Services

Fax to 603-237-1250 or email outreach@oi-infusion.com
Vyvgart
Step 1

Download OI Referral Form

Download the OI Infusion Referral Form
Step 2

Download Specific Order Set for Therapy

Download Therapy Specific Order Set
Step 3

Fax or Email Forms to OI Infusion Services

Fax to 603-237-1250 or email outreach@oi-infusion.com
Xgeva
Step 1

Download OI Referral Form

Download the OI Infusion Referral Form
Step 2

Download Specific Order Set for Therapy

Download Therapy Specific Order Set
Step 3

Fax or Email Forms to OI Infusion Services

Fax to 603-237-1250 or email outreach@oi-infusion.com
Xolair
Step 1

Download OI Referral Form

Download the OI Infusion Referral Form
Step 2

Download Specific Order Set for Therapy

Download Therapy Specific Order Set
Step 3

Fax or Email Forms to OI Infusion Services

Fax to 603-237-1250 or email outreach@oi-infusion.com
Zinplava
Step 1

Download OI Referral Form

Download the OI Infusion Referral Form
Step 2

Download Specific Order Set for Therapy

Download Therapy Specific Order Set
Step 3

Fax or Email Forms to OI Infusion Services

Fax to 603-237-1250 or email outreach@oi-infusion.com
Require another therapy? Send us a message and we will contact you promptly.