Referring patients is easy

  • Online: Complete our electronic referral form and upload documents directly.

  • Fax or Email: Download, print, and send the completed form with supporting documents.


We’ll handle the rest, including prior authorizations!

Phone: 813-726-0350 Fax: 813-433-5315 Email: TFHCSpecialtyCare@TFHC.org

Treatment Referral Forms

Actemra®

Cimzia®

General Form

Injectafer®

Leqembi®

Orencia®

Renflexis®

Simponi®

Spevigo®

Venofer®

Xolair®

Amvuttra®

Cinqair®

Entyvio®

Glassia®

IVIG®

Lumizyme®

Prolastin®

Riabni®

Stelara®

Tysabri®

Avsola®

Cosentyx®

Evenity®

Hydration

Infed®

Ilaris®

Nucala®

Prolia®

Rituxan®

Saphnelo®

Tepezza®

Uplizna®

Vyepti®

Benlysta®

Crysvita®

Feraheme®

Inflectra®

Ilumya®

Nulojix®

Reclast®

Ruxience®

Skyrizi®

Tremfya®

Tezspire®

Vyvgart®

Briumvi®

Dupixent®

Fasenra®

Infliximab®

Leqvio®

Krystexxa®

Ocrevus®

Remicade®

Rystiggo®

Soliris®

Ultomiris®

Vyvgart Hytrulo®