Partner with AOM Infusion for Seamless Specialty Infusion Care
Referral Contact
Phone: 800-746-9089 | Fax: 800-528-9860

Phone: 800-746-9089 | Fax: 800-528-9860
Referring a patient to AOM Infusion is simple. Our dedicated referral management team coordinates every step of the process, from benefits verification and prior authorization to scheduling and patient onboarding.
Select the following referral form that best matches your patient’s diagnosis or therapy.
Complete the referral form and include the required insurance information and supporting clinical documentation.
Fax the completed referral packet to 800-528-9860. Our referral management team will review and respond within 24 hours of receiving the request.

Centralized intake ensures timely processing and clear communication
Benefits and prior authorization managed to support a smooth therapy start
Patients scheduled quickly with therapy readiness and clinical needs confirmed
Therapy delivered in a clinically supervised setting with standarized monitoring protocols
Therapies completed on time with ongoing coordination to support continuity of care