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Online Forms

Infusion/Injectable Referral Form:
With one phone call, fax or email to ICS, we will take care of all of your needs. Our highly trained intake specialists will verify payor source coverage, obtain authorization, and coordinate nursing care. We pride ourselves on seamless care coordination.

CLICK HERE TO DOWNLOAD THE FORM

PHONE 800.734.2896 FAX 559.734.6451

Hepatitis C Referral Form:

CLICK HERE TO DOWNLOAD THE FORM

phone 888.864.0936
fax 888.864.0937

Last Updated Saturday, November 17, 2018 - 08:38 AM.

Referral Forms

Infusion/Injectable Referral
Hepatitis C Referral

Reimbursement/Contracts

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Testimonials

"Integrated Care Systems has been supplying my special medical needs for the past several years. During this period, I have been extremely satisfied with every aspect of their services. From the pharmacists, the delivery drivers, to the receptionists, every individual always makes me feel that they truly care about me, the patient. I would strongly recommend ICS to anybody requiring their special needs services."

Tommy