Professional Referrals

Referral and IV order forms for healthcare practitioners. Every form here is a fillable PDF, so you can complete it and sign it on screen.

You need a practice ID to complete a referral. Send the saved file to Solis by fax or secure clinical email.

Where to send the finished form

Pick whichever is easiest for your office. All three reach the same team.

Keep the subject line blank of patient details. Never put a patient name, health number or medical detail in an email subject line.

5 fillable PDFs

Each one opens in a new tab. Use Open & fill form to start, then Email to send the saved file back.

For a pain consult with Dr. Vonda Bobart. Asks for the patient's details, the reason for referral, and your practice ID.

For IV iron. Asks for weight and allergies, and carries the standing orders the nurses follow if a reaction happens.

For IV migraine therapy. You confirm you saw the patient, then check off the medicines to be given.

For an IV zoledronic acid infusion. Same patient and prescriber details, plus the reaction orders.

For IV magnesium. Asks for a patient email and an emergency contact along with the usual details.