Remdesivir
Please fax the following to our intake team. Fax number: (817) 336-1643
Referral form (everything highlighted in yellow must be filled out)
- Progress note stating the patient is at high risk for severe disease.
- Covid 19+ test from a facility (can’t be home test)
- Patient demographic sheet
- Medication list
PEMGARDA
Please fax the following to our intake team. Fax number: (817) 336-1643
Referral form (everything highlighted in yellow must be filled out)
- Progress note stating patient is at high risk for severe disease
- Patient demographic sheet
- Medication list