Send us a referral via fax
or secure email
Fax: (888) 373-5528
Email: referral@uptivhealth.com
If sending PHI via email, please ensure to only use a HIPAA compliant email service, ensuring data encryption and security.
Send us a digital referral. Why digital?
- Save 10-15 minutes per referral
- Get real time visibility into the referral status
- See all your referrals in one place
- Provide updated patient documentation directly into the referral
We support all available infusion and injection therapies (except oncology)
We support all available infusion and
injection therapies
(except oncology)
If you do not see an order form for a medication you need, please submit the General Order Form and we will take care of it.
Downloadable order forms
Send us the order form and related clinical, and let our team take care of the rest.
Our Insurances
Where to find us
We are open weekdays, weekends, and extended hours to accommodate your schedule.
Call us to schedule your appointment at (734) 203-0176.
Your needs are our top priority.
Let’s connect and see how we can help.
Downloadable Order Forms
Send us the order form and related clinicals and let our team take care of the rest.