- Tell: (405) 471-6511
- Fax: (405) 471-6522
- 1501 E 19th street Edmond ok 73013
- Lunch Break is 12 to 1pm
🗓️ Mon–Fri: 8:00 AM – 9:00 PM | Sat–Sun: 9:00 AM – 9:00 PM | ☕ Lunch Break: 12:00 PM – 1:00 PM
🗓️ Mon–Fri: 8:00 AM – 9:00 PM | Sat–Sun: 9:00 AM – 9:00 PM | ☕ Lunch Break: 12:00 PM – 1:00 PM
Email: infusion@optimumcarepartners.com
Fax: 405 390 7409
Download Optimun Care’s convenient fillable PDF referral forms for a specific condition or medication below, then simply fax or email to our office along with the necessary patient documentation. Optimum Care Partners will take care of verifying the patient’s insurance coverage and working through the prior authorization process if needed.
Search for forms by drug name
| Drug Specific Infusion Forms |
|---|
| Actemra |
| Apretude |
| Avsola |
| Benlysta |
| Bivigam |
| Briumvi |
| Cabenuva |
| Cimzia |
| Cosentyx |
| Elfabrio |
| Entyvio |
| Evenity |
| Fasenra |
| Gammagard |
| Gamunex-C |
| Glassia |
| ILARIS |
| Ilumya |
| Infliximab |
| Kisunla |
| Krystexxa |
| Leqembi |
| Leqvio |
| Nucala |
| Nulojix |
| Ocrevus |
| Octagam |
| Omvoh |
| Onpattro |
| Orencia |
| Panzyga |
| Privigen |
| Prolastin |
| Remicade |
| Renflexis |
| Riabni |
| Rituxan |
| Rituximab |
| Ruxience |
| Rystiggo |
| Saphnelo |
| Simponi-ARIA |
| Skyrizi |
| Soliris |
| Stelara |
| Tepezza |
| Tezspire |
| Tofidence |
| Truxima |
| Tyenne |
| Tysabri |
| Ultomiris |
| Uplizna |
| Vyepti |
| Vyvgart Hytrulo |
| Vyvgart |
| Xolair |
Search for forms by condition
We are committed to providing top-quality care and services tailored to meet your needs.
1501 E 19th Street Edmond OK 73013
Primary Care: Monday - Friday, 8 AM - 5 PM
Urgent Care: Monday - Friday, 8 AM–9 PM
Saturday and Sunday, 9 AM–9 PM
IV Infusion: Monday - Sunday 9 AM - 9 PM
Occupational Health: Monday - Sunday, 9 AM–9 PM
Mental Health Service: Monday - Friday 8 AM - 5 PM