an Amerita company 800-625-9871
Alternacare Infusion Pharmacy

Referral Sources

Placing a referral with Alternacare is a simple process:
Step 1: Download our referral form and fax orders to Alternacare – 913-906-9326. We will verify benefits and set up patient for services. Click here to download the referral form
Step 2: Write in patient chart at hospital “please refer to Alternacare for home IV therapy”__________ (TPN, Enteral, Antibiotic, Chemotherapy, Pain Management)
Step 3: Physician, Nurse, Discharge Planner, Social Worker or Case Manager calls Alternacare 913-906-9260 or 1-800-625-5781 to notify of the referral.
Step 4: Inform intake clinician of the following:

Name, Address, Phone Number of Patient, Insurance Information – Company and ID# Primary and Secondary

Social Security Number and Date of Birth

Sex (M/F), Height and Weight



Type of IV Access (line)

Orders and Time of Discharge

To learn more about our service area or accepted insurances, feel free to contact us at 913.906.1625.