At California Infusion Centers, we strive to make your care experience as smooth and stress-free as possible. To save time at your appointment, you can complete all required forms online through our secure, HIPAA-compliant platform. Whether you’re a new patient or a referring provider, the forms below will help us prepare for your visit and ensure your treatment begins without delay. To save time at your appointment, you can complete all required forms online through our secure, HIPAA-compliant form platform.
Provide your health history, emergency contact, and insurance details. This information allows our clinical team to create a personalized treatment plan.
For Referring Physicians
Physicians may use this form to submit clinical documentation, medication orders, and treatment details for referred patients. All information is transmitted via an encrypted, HIPAA-compliant system.
Privacy Notice: All patient and provider forms linked from this page are hosted on a secure, HIPAA-compliant third-party platform. No personal or medical information is collected, stored, or transmitted through this website.
If you have questions or need assistance with any of the forms, please reach out.
(626) 538-4270
Info@cainfusioncenters.com
