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.
Years Home
Infusion Experience
25+
REFERRAL SITUATIONS
What may be considered
for referral
Post-discharge clinical support
Ordered infusion or IV nursing services
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
COMMON PROBLEMS
When a referral may
be considered
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.
Organization name *
Work email & phone *
Patient county or ZIP code
Preferred follow-up method
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.
General referral reason
Contact name & role *
Request type *
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.