For Referring Physicians
For Use by Referring Physicians
Simple Process
Please select the drug-specific referral forms and fax back to us, along with necessary medical information.
Our Commitment to You.
We commit to provide care and services to your patients with the highest standards and to coordinate all communication and activities with the goals you have established in your diagnosis and treatment plan.
Referral Forms
We offer the following Infusion Therapies.
Please call us if you are needing a therapy not on this list.
772-446-4883
FAX: 561-567-7457
Actemra (tocilizumab)
Avsola (infliximab)
Benlysta (belimumab)
Briumvi (ublituximab-xiiy)
Cimzia (certolizumab pegol)
IVIG (immunoglobulin)
Cosentyx (secukinumab)
Krystexxa (pegloticase)
Entyvio (vedolizumab)
Ilumna (tildrakizumab-asmn)
Inflectra (infliximab)
Kisunla (donanemab-azbt)
Lemtrada (alemtuzumab)
Ocrevus (ocrelizumab)
Orencia (abatacept)
Remicade (infliximab)
Renflexis (infliximab)
Ruxience (rituximab)
Saphnelo (anifrolumab-noli)
Simponi Aria (golimumab)
Stelera IV (ustekinumab)
Solumedrol
(methylprednisolone sodium succinate)
Truxima (rituximab)
Tyenne (tocilizumab-aazg)
Tysabri (Natalizumab)
Ultomiris (ravulizumab-cwvz)
Uplizna (inebilizumab-cdon)
Vyepti (eptinezumab)
Fax the Completed Referral Form.
Include all requested medical chart information.
Address and Mail
Email: [email protected]
Address Office:
266 NW Peacock Blvd Ste 205
Port St. Lucie, FL 34986
Get In Touch
Assistance Hours
Mon – Fri 9:00am – 4:30pm
Sat & Sun – CLOSED
Phone Number:
772-446-4883
Office: 4822 Northlake Blvd Ste B
Palm Beach Gardens, FL. 33412
Call: 561-705-0721
Email: [email protected]
Site: www.goimmunofirst.com
