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Infusion Referral Forms

Our infusions and injections include treatments for rheumatoid arthritis, osteoporosis, psoriasis, Crohn’s disease, gout, lupus, and immunodeficiency disorders. NTIC also has a Travel Medicine Center that can provide vaccinations for patients traveling abroad.

Our infusion team works with the referring physicians to provide safe effective therapies as one of the main priorities is the safety and comfort of the patients.

NTIC offers many different drugs for infusion/injection, including the following:

Click the link to the available referral form below and download to complete

Referral Forms

Additional Information:

Click to download from the available referral forms above. Print and complete the signed form or contact our office at to request a form.

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