To make a referral for a patient requiring specialty infusion therapy services, please contact Oso Specialty Infusion.

The following information is helpful when making a referral:

• Patient name, address, date of birth, telephone number
• Diagnosis relating to the infusion therapy, prescription, and therapy start date
• Intravenous access type (if applicable)
• Physician and insurance information
• Other services required

PRINTABLE REFERRAL FORMS

Please download our online referral forms below.

Once you've printed and filled out the form, please fax it to Oso at 949-660-7138

RADICAVA 

FASENRA

XOLAIR

CINQAIR

NUCALA

OCREVUS

INJECTAFER

ZEMAIRA