转诊表

Send us an Electronic Referral

Accredo specialty pharmacy and iAssist have partnered to support timely access to therapy and a better patient and provider experience. Save time by e-prescribing instead of manually filling out paper enrollment forms.

开始

Alternatively, if you are unable to send an electronic referral, you can find the referral form by specialty condition and product name in the list below. 然后，填写所需处方和注册信息并按印在表格上的号码传真给我们。转诊表必须由持证处方医师递交。我们致力于为您的患者提供最好的服务。