FHA Regional Pre-Printed Orders for Parenteral Iron (adult)

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  • Create Date October 23, 2021
  • Last Updated October 23, 2021

FHA Regional Pre-Printed Orders for Parenteral Iron (adult)

Unified PPO for Iron Infusions in medical daycare for FHA sites as of 2021-Oct-23 11:38. Note that the original form had no fax numbers. The eFORM has the site-specific fax numbers. Note that each site may have eligibility criteria, such as pt location. As of this posting, we cannot confirm the capacity for each site to provide Fe infusion services.

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FHA_Iron_Infusion_Request_V4_Oct23_2021.zipDownload