To find an Infusion Clinic Medication Orders form, click the link below to open the PDF, click 'Ctrl F' to search by medication name or keyword, note the form page number and print the desired form by page number. 

Infusion Clinic Medication Order forms

COVID-19 Outpatient Therapy Documents

Referrals for eligible patients are being accepted from local providers for the COVID-19 outpatient therapy Paxlovid. Paxlovid is currently the preferred treatment option for eligible patients. Please carefully review all eligibility criteria on therapy order forms. These therapies are currently in short supply and availability may vary. Submission instructions are on listed the consent/order form below.

For questions about Paxlovid, call 406-495-6805