For Providers

Refer with confidence—timely scheduling, seamless coordination, and clear communication

City Infusions Is There For Healthcare Providers

Refer your patients for specialty infusion therapy. We manage authorization, coordination, and scheduling from start to finish.

Downloadable order files

Physician Order Forms

Download and print the appropriate therapy-specific order form below. Completed forms can be faxed or emailed along with supporting clinical documentation.

How to Refer a Patient

Getting started is simple. Follow these steps and our team will take it from there.

Step 1

Download the Appropriate Order Form

Select the physician order form for the prescribed therapy. Not sure which form to use? Contact our office and we’ll guide you

Step 2

Complete the Order Form

Include patient demographics, insurance information, diagnosis, medication, dosing, and any relevant clinical notes.

Step 3

Submit the Referral

Send the completed form and supporting documentation via:

Fax: (703) 839-9750
Email: referrals@cityinfusions.com

Step 4

We Handle the Rest

Once received, our team will:

Review coverage and benefits
Obtain all required insurance approvals
Contact the patient to schedule
Keep your office informed throughout treatment

What to Include with Your Referral

Completed physician order form
Patient demographics and insurance information (copy of insurance card, front and back)
Relevant clinical/chart notes supporting medical necessity
Most recent lab results (if applicable)
Any prior authorization numbers already obtained

WHY CITY INFUSIONS

A Reliable Partner for Your Patients' Infusion Care

City Infusions is a dedicated outpatient infusion center in Arlington, Virginia, built to support referring providers and their patients. We specialize in administering biologic infusions, IVIG, iron infusions, and other specialty therapies for complex chronic conditions. When you refer a patient to us, our team takes full ownership of the administrative and clinical process, so your practice doesn't have to.

Complete Insurance & Authorization Support

We verify patient benefits and manage the entire prior authorization process with the insurance carrier before treatment begins.

Dedicated Referral Coordination

Our referral coordinators work directly with your office to ensure all documentation is received and the patient is scheduled promptly.

Clinical Updates & Communication

We keep your office informed with treatment progress notes, infusion records, and any clinically relevant updates throughout the patient's care.

Experienced Infusion Nursing Team

Our registered nurses specialize in the administration of biologic and specialty infusion therapies, ensuring safe and comfortable treatment for every patient.

submit your referral

How to Submit Your Referral

To refer a patient to City Infusions, download the appropriate physician order form from the section below, complete it with the required patient and clinical information, and fax it to our office along with supporting documentation. Our referral coordination team will confirm receipt and begin processing within one business day.

Fax Number 703-839-9750

After You Submit: Our team will verify the patient’s insurance benefits, manage the prior authorization process, and contact the patient directly to schedule their appointment. We’ll keep your office informed at every step.

What to Include with Your Referral:

Completed physician order form for the prescribed therapy
Patient demographics (name, date of birth, address, phone number)
Copy of insurance card (front and back)
Relevant clinical or chart notes supporting medical necessity
Most recent lab results (if applicable)
Any prior authorization numbers already obtained

Questions about the referral process?

Call us at (703) 375-9577 or email info@cityinfusions.com

Expert Infusion Care for Complex Conditions

We administer physician-prescribed therapies for a range of chronic and complex conditions. Each treatment plan is tailored by the referring provider and administered by our clinical team.

Rheumatoid Arthritis

A chronic autoimmune condition that causes painful inflammation and stiffness in the joints, often affecting the hands, wrists, and knees.

Psoriatic Arthritis

An inflammatory condition that combines joint pain and swelling with the skin symptoms of psoriasis.

Psoriasis

A chronic skin condition driven by an overactive immune system, causing red, scaly patches that can appear anywhere on the body.

Lupus (SLE)

A systemic autoimmune disease in which the body’s immune system attacks its own tissues, potentially affecting the joints, skin, kidneys, and other organs.

Ankylosing Spondylitis

A chronic inflammatory condition primarily affecting the spine and sacroiliac joints, leading to pain, stiffness, and reduced mobility over time.

Crohn's Disease

A chronic inflammatory bowel disease that can affect any part of the digestive tract, causing abdominal pain, diarrhea, and fatigue.

Ulcerative Colitis

A chronic condition that causes inflammation and ulcers along the lining of the large intestine and rectum.

Short Bowel Syndrome

A condition in which the body cannot absorb enough nutrients due to a significant portion of the small intestine being missing or nonfunctional.

Multiple Sclerosis

A chronic disease in which the immune system attacks the protective covering of nerves, disrupting communication between the brain and the rest of the body.

Myasthenia Gravis

A neuromuscular disorder that causes weakness in the skeletal muscles, particularly those controlling eye movement, facial expressions, and swallowing.

Chronic Inflammatory Demyelinating Polyneuropathy (CIDP)

A rare neurological disorder involving progressive weakness and impaired sensation in the legs and arms due to damage to the nerve coverings.

Primary Immunodeficiency (PI)

A group of inherited disorders in which part of the body’s immune system is missing or does not function properly, making infections more frequent and severe.

Secondary Immunodeficiency

A weakened immune system resulting from external factors such as medication, illness, or medical treatment, increasing vulnerability to infections.

Iron-Deficiency Anemia

A common condition in which the blood lacks enough healthy red blood cells due to insufficient iron, causing fatigue, weakness, and shortness of breath.

Osteoporosis

A condition that weakens bones and makes them more fragile and prone to fractures, often treated with infusion therapy when oral medications are not effective.

Severe Asthma

A chronic respiratory condition involving persistent airway inflammation that does not respond adequately to standard inhalers and oral medications.

Gout

A form of inflammatory arthritis caused by excess uric acid buildup, leading to sudden and severe episodes of joint pain, swelling, and redness.

This list is not exhaustive. If you are prescribing a therapy not listed here, please contact us at (703) 375-9577 or info@cityinfusions.com to discuss your patient’s needs.

WHY CHOOSE US

Healthcare Designed Around You

We combine medical excellence with modern systems to deliver care that is efficient, transparent, and reliable.

Experienced Medical Professionals

Our team is composed of licensed and highly trained practitioners.

Advanced Medical Technology

We use modern equipment to ensure accurate diagnosis and treatment.

Personalized Care Plans

Each patient receives tailored medical solutions. It’s very personalized.

Efficient & Transparent Service

Clear processes, clear communication, and no unnecessary waiting.

Book Your Free Medical Appointment Today

Start your healthcare journey with a complimentary initial consultation. Our medical team will help assess your needs and guide your next steps with confidence.