Start the referral process.
TheraVite Health is your trusted partner in delivering high-quality specialty therapy to your patients. Licensed providers can begin the referral process using the forms below.
Select a referral category
Select a therapy-specific referral form. Each PDF can be printed, completed by your office, and faxed to TheraVite, or completed digitally and emailed to info@theravitehealth.com.
Don’t see your therapy? Use the General Specialty or General Infusion forms above, or contact us at info@theravitehealth.com.
From referral to first treatment, in 5 to 10 business days.
Submit
Complete and fax or email your referral form
Acknowledge
Same-day email confirmation to your office
Verify
Benefits and prior auth in 24-48 hours
Schedule
Direct contact with patient
Update
Communication back to your office
A specialty partner that respects your time.
- Same-day referral acknowledgment
- 24 to 48 hour benefits investigation
- Dedicated multidisciplinary care team for every patient
- Proactive communication to your office
- Integrated infusion plus specialty pharmacy
Are you a provider with questions?
At TheraVite, patient referrals aren’t a handoff — they’re a handshake. Reach out to us with any questions about the referral process, drug access, prior authorization, or insurance coverage for a specific patient.
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