It takes less than 5 minutes to refer a patient to Haven Infusion. Then, we take care of the rest.
It's easy for you and great for patients.
Referral Options
Submit a Referral Online
Fill out our online forms by selecting a therapy in the list below:
Once you submit & eSign, we will send you a confirmation email so you have a copy for your records.
If you've already submitted an order form and need to submit additional instructions or documentation, click here:
Fax an Order Form
Download a therapy-specific order forms below:
Fax the form to: (810) 963-2873
We Make It Easy
All We Need From You
Signed order form
Supporting clinicals
What We Do On Your Behalf
Prior authorization
Financial assistance & counseling
Scheduling the patient appointment
Provide an incredible patient experience
Post-treatment follow-up
Keep you updated along the way!
You'll love how Haven does things.
We’ve Got You Covered
We Accept These Insurances
