Referring a Patient is easy
Refer a patient today and our admissions staff will ensure your patient has all the forms and information needed to onboard with Nufactor. Our process is easy and seamless. Download and submit your completed form by faxing it to (855) 270-7347.For patients residing in Alabama please click here.
Infliximab (Inflectra®, Remicade®, Renflexis®) / Golimumab (Simponi Aria®) Form
Eculizumab (Soliris®) Form
Bleeding Disorder Form
Plasminogen (Ryplazim®) Form
Talk with us today about referring a patient. Call us at (800) 323-6832 or send an email to firstname.lastname@example.org and we will be more than happy to help you through the process.
The information provided on this website is not medical advice, nor is it intended to be a substitute for medical advice, diagnosis, and treatment. Always seek the advice of a physician or other qualified health provider with questions concerning a medical condition. Never disregard professional medical advice, or delay seeking it based on information provided on this website.