Healthcare Providers
We work with providers both in and out of state
Healthcare providers can order services by utilizing the appropriate PDF form below. All orders need to include:
- Patient name, DOB, diagnosis with ICD-10 code
- Provider signature with date and time
- Medication name, dose, route and frequency
Fax completed orders to 503-815-7515. To speak directly with a nurse, call(503) 815-7510
Physician Orders
For additional information, please read ourorder instructionsandscope of services.
- Bladder Chemotherapy Treatment
- Blood Transfusion
- General Orders
- IM/SQ Injection
- Iron Dextran
- Ketamine IV Infusion
- Pain Management
- Payne Cocktail II: Bladder Instillation
- Port Flush
- Prolia® (Denosumab)
- SPRAVATO® Nasal Spray
- Therapeutic Phlebotomy
- Wound Care
- Zoledronic Acid/Reclast for Osteoporosis
Consent Forms
Some medications require a signed consent by the provider and patient before receiving treatment from Outpatient Therapy Services.