REFERRAL FORMS

EMG/NCS

Electromyogram and Nerve Conduction Studies

INTRATHECAL BACLOFEN PUMP

Spasticity Management

ADUHELM™

(aducanumab-avwa)

BOTOX®

Botulinum Toxin

ENTYVIO®

(vedolizumab)

EVENITY®

(romosozumab-aqqg)

ILUMYA™

(tildrakizumab-asmn)

IVIG

(Immune Globulin Infusion (Human)) 10%

LEQVIO®

(inclisiran)

OCREVUS®

(ocrelizumab)

PROLIA®

(denosumab)

RECLAST®

(Zoledronic Acid)

REMICADE®

(Infliximab)

STELARA®

(ustekinumab)

SOLIRIS®

(eculizumab)

TYSABRI®

(natalizumab)

VYEPTI™

(eptinezumab-jjmr)

VYVGART™

(efgartigimod alfa-fcab)