Contact/Refer
PHYSICIANS & HEALTHCARE ORGANIZATIONS
Clear referral path
for care beyond the office
Patients can lose momentum when they leave the hospital, cannot reach the office, or need a skilled service where they live. Practistat works with authorized healthcare partners to review appropriate referrals within the available service area and approved scope.
Not for emergencies. Call 911 for severe or life-threatening symptoms.
Refer a patient
Years Home Infusion Experience
25+
When a referral may
be considered
COMMON PROBLEMS
A referral may be considered when the requested service is within Practistat's approved scope and competency, the patient is in the available territory, required orders and records are supplied, the home or residential setting is appropriate, and payment or authorization requirements are satisfied.
What may be considered
for referral
Post-discharge clinical support
Ordered infusion or IV nursing services
REFERRAL SITUATIONS
Line, catheter, wound, medication, or nutrition
support
Chronic-condition monitoring for patients with
mobility or access barriers
Care coordination among patient, family, prescriber,
facility, and pharmacy
Organization name *
Contact name & role *
Work email & phone *
Request type *
Patient county or ZIP code
Preferred follow-up method
General referral reason
A secure fax, portal, or approved method for orders and clinical records will be provided separately — please do not include protected health information in this form.
Not for emergencies. Call 911 for severe or life-threatening symptoms.
PHARMACY / INFUSION PARTNER INQUIRY
Tell us about your coverage need
A member of the Practistat team will review your request and follow up during
business hours.
Refer a Patient