Infusion Orders

Corewell Health in West Michigan

Printable, faxable orders are available below, as well as a list of Corewell Health Outpatient Infusion Clinic locations and fax numbers. Follow these steps to get started:

  • Print and fill out the infusion onboarding slip completely
  • Print and complete the paper order form
  • Ordering provider signature is required on both documents
  • Fax completed forms to the Corewell Health Outpatient Infusion Clinic

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