Welcome to Infusion Center Solutions, Inc. We are very pleased that you have accepted our invitation to join our national network of Infusion Providers. Membership will enable us to send referrals to you which we receive from payers, manufacturers, pharmacies and patients looking for infusion centers like yours.


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I understand that this membership form offers the facility or practice, listed above, the opportunity to submit their center information, as outlined on this Infusion Center Solutions form, for inclusion in the Infusion Center Solutions site of care directory & map.
I am legally authorized representative of the facility or practice and I am submitting this information on behalf of the facility / practice name listed on this form.