Send Your Referrals

Patients can be referred to Vital Care of Central NY for professional and compassionate infusion therapy services. We ensure smooth coordination and clear communication between healthcare providers, patients, and their families. Our goal is to make the referral process simple while supporting continuity of care and optimal treatment outcomes.

REFERRAL INSTRUCTIONS

Please follow the steps below carefully:

Fill out the required forms
Download the completed forms
Have the referring physician sign the forms
Fax the signed forms to: 1-800-858-1470 or email us at referrals@vitalcareofcentralny.com

Gastroenterology Referral Form

VCRheumatology Referral Form

TPN Referral Form

Alpha1 Therapy Referral Form

Dermatology Referral Form

Home Infusion Referral Form

IG Referral Form REVISED

Immune Therapy UPDATED

Neurology Form

Don’t see a referral form? Please fill in your information below, and our team will contact you as soon as possible.