North Texas Infusion Centers4-Step Referral Process
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4-Step Referral Process

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Referring a patient is quick and easy. The NTIC referral is a simple 4-Step Process which includes the following:

Download the available infusion referral forms. NTIC offers many different drugs for infusion/injection. Print and complete the appropriate form or contact our office at (214) 276-5642 to request a form. Fax the form to our pharmacy at 214-887-0436.

After receiving the completed referral form and medical records, NTIC Specialty Intake Coordinator verifies benefits and the patient is scheduled at either our Downtown Dallas office or the NorthPark/Carrell Clinic office.

A fax is sent to the referring physician notifying them the patient has been scheduled.

After the patient has been seen in the infusion center, a record of the patient's visit is faxed to the referring physician. A fax will be sent to the physician if a patient can not be reached to set up an appointment or does not show up for a scheduled appointment.


Additional Referral Process Information:

The referral forms are available on our website, here. These referral forms can be signed by the referring physician and faxed to our pharmacy. A copy will be sent to our business office who will get the patient approved for treatment and notify the receptionists when the patient is ready to be scheduled.

Our staff of 17 insurance specialists work with all of the major insurance companies as well as the drug manufacturers for co-payments assistance. Along with the referral form we request the most recent labs and clinical notes. After the patient has received their treatment a copy of the infusion visit will be sent to the physician office for review.


Downtown Dallas Office Downtown Dallas Office
Located at Baylor Univ. Medical Center Campus
3409 Worth Street, Suite 740
Dallas Texas 75246
(214) 276-5635
NorthPark Office NorthPark/Carrell Clinic Office
9301 North Central Expressway
310 Tower One
Dallas, Texas 75231
(214) 890-1616