Provider forms and information
Why refer a patient to Suite Health?
We provide seamless admission
We provide seamless admission to:
Infusion therapies and injection services
Prior Authorization and Financial Assistance Services(Co-pay assistance programs)
Infusion/injection notes 24 hours following infusion/injection appointment
Support continued plan of treatment education
Manage the process for navigating through the complexity of authorizations, eligibility, and co-pay programs
- Post treatment check in on your patients at 4 hours post and 24 hours post
Submit a Referral
Our Five ways to refer a patient
Secure Online Submission
Our list below has digital forms connected through DocuSign. Click the fill online button to fill out the form and attach any additional documentation.
intake@mysuitehealth.com
Fax
(970) 315-1882
General Referral Form
If there is a treatment not listed below for intravenous application please feel free to use our general referral form.
Infusion forms
Click any of the buttons below to get started.
Don’t see what you’re looking for? We still have options available, and will work to accommodate you no matter what your need is.
