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

Allergies

Diagnosis

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.