Make a Referral
Referring a patient to Wellscript is easy. To refer a patient, follow these steps:
Step 1: Download the order form available on our website.
Step 2: Complete the order form.
Step 3: Fax the completed order form to (530) 246-7366.
Wellscript is able to take referrals via services including Allscripts, Ensocare and Carelink.
Please make sure you include the patient’s details, including complete contact information, insurance information, and diagnosis with supporting documentation.
Enteral Prescriber Order Form
Heart Failure Infusion Enrollment Form
Infusion Pharmacy Prescriber Form
After receiving the order form with the patient’s information, our team will handle the rest. We do our best to get each treatment approved as quickly as possible.
