Magenta Care

Quick & Easy Referrals

Refer a Patient

Partner with Magenta Care to provide your patients with expert home infusion therapy. Our streamlined referral process ensures a smooth transition to home-based care.

Submit Referral Online Call (206) 737-0669

How It Works

Our simple 4-step process gets your patients started quickly.

Submit Referral

Complete the referral form with patient information, therapy details, and prescriber information.

Confirmation Call

Our intake team will contact you within 24 hours to confirm receipt and gather any additional details.

Nurse Assignment

We match the patient with a qualified infusion nurse based on location, therapy type, and scheduling needs.

Care Delivery

Our nurse coordinates with the pharmacy and patient to schedule and deliver home infusion therapy.

Submit a Referral Online

Complete the form below to refer a patient for home infusion therapy. Our team will contact you within 24 hours to confirm receipt.

Your Information

First Name *

Last Name *

Email *

Phone *

Your Relationship to Patient *

Patient Information

First Name *

Last Name *

Date of Birth *

Phone *

Street Address

Apt/Suite

City *

State *

ZIP Code

Clinical Information

Chief Complaint / Reason for Referral *

Diagnosis

Clinical Notes

Priority

Supporting Documents (Optional)

Upload medical records, prescriptions, or other relevant documents. Accepted formats: PDF, PNG, JPG (max 10MB each).

Click to upload filesPDF, PNG, or JPG up to 10MB

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Downloadable Referral Forms

Prefer to submit via fax? Download our referral forms below.

IVIG Referral Form

For immunoglobulin therapy referrals including IVIG and SCIG.

Download PDF

Hydration Therapy Referral Form

For IV hydration and vitamin infusion therapy referrals.

Download PDF

Fax completed forms to (206) 737-3118

Information Needed

To ensure a smooth referral process, please have the following information ready:

Patient demographics and contact information
Insurance information and authorization details
Prescriber name and contact information
Medication name, dose, and frequency
Diagnosis and ICD-10 codes
Therapy start date and duration
Any special considerations or patient needs

Quick Turnaround

We aim to confirm all referrals within 24 hours and schedule the first visit within 48-72 hours of receiving complete information.

Referral ConfirmationWithin 24 hours

Nurse AssignmentWithin 24-48 hours

First Visit ScheduledWithin 48-72 hours

Ways to Refer

Physicians, specialty pharmacies, and case managers can submit referrals through any of these channels.

Physicians & Prescribers

Specialty Pharmacies

Case Managers

Online Form

Submit referrals instantly using our secure online form. No account required.

Submit Online

Phone

Call our intake team directly to submit a referral or ask questions about our services.

(206) 737-0669

Fax

Download our referral forms and fax completed documents to our intake team.

(206) 737-3118

Ready to Refer a Patient?

Our team is ready to help your patients receive expert home infusion care. Submit a referral today or contact us with any questions.

Submit Referral Contact Us