LifeBridge Health
410-601-9355

Resources for Referring Providers

Outpatient Infusion Referral Requirements

 

Thank you for choosing the Alvin & Lois Lapidus Cancer Institute or the William E. Kahlert Regional Cancer Center for your patients.  

 

To ensure timely scheduling and compliance with financial authorization requirements, all referrals must include the items outlined below. The office representative submitting the referral should review each item and include a direct contact number for follow-up. 

Before you Submit

Please confirm the following before sending your referral:

 

  • Referring provider is credentialed at Sinai Hospital or Carroll Hospital, with privileges to admit and write orders 
  • Patient demographics and insurance information are included
  • Provider note is included and contains: 
    • Diagnosis and corresponding codes (required on the order form) 
    • Medical necessity supporting the referral (dated within 30 days) 
    • Lab work supporting orders (completed within 30 days) 
      • Attached, or 
      • Documented in Cerner (include date)
  • Orders are complete:
    • Paper orders include patient date of birth, provider signature, date, and diagnosis codes
    • Orders are entered in Cerner, if possible
  • Patient consent, if applicable
  • Patient contact information

How to Submit

Include the following with your referral:

  • Office contact person
  • Direct phone and fax number
  • Date faxed to OPIS  

Fax all required documentation to 410-601-4452. 

After You Submit

Once authorization is complete, OPIS scheduling staff will contact the patient directly to schedule an appointment.

 

For any questions or concerns, please contact the OPIS charge nurse at 410-601-4779.  

Order Forms

Download and complete the appropriate forms below before submitting your referral.