- AIC consent Download Form
- AIC Generic Blank Drug Download Form
- Erythopoesis Stimulating Agent, Procrit ,Retacrit, Aranesp Download Form
- Rituximab Download Form
Download Form
To download therapy-specific drug order forms, please visit our website or contact us for delivery to your office.
Compile Documentation
Collect patient information, including demographics, insurance details, and relevant medical records.
Send to Us
Fax the signed order form with supporting documents to the patient’s preferred American Infusion Care location, or email to referrals@americaninfusioncare.com (include location and patient name in the subject line).