For Providers

Provider resources

Health care providers may use the order sets below to request medical infusion treatment for a patient.

Provider order sets

Health care providers, please download, print and complete the order set for the required infused medication. Once complete, please fax the form to FLX Medical Infusion at 585-991-6670. A member of the FLX Medical Infusion team will contact you.

Entyvio order set (PDF)

Ivig order set (PDF)

Kinsunla order set (PDF)

Leqvio order set (PDF)

Ocrevus order set (PDF)

Reclast order set (PDF)

Remicade order set (PDF)

Skyrizi order set (PDF)