Company
We Serve
Conditions Treated
Soleo Health appreciates the opportunity to take care of your patient referrals.
We have our referral forms listed by Therapeutic Expertise categories. If you cannot find the specific form you need, we encourage you to reach out to our dedicated support team. We are committed to providing personalized assistance and finding solutions that meet your unique healthcare needs.
Atypical hemolytic uremic syndrome (aHUS) Referral Form
Crysvita® Referral Form
GIVLAARI® Referral Form
IgG4-RD Referral Form
LUMVOA™ Referral Form
ONPATTRO® Referral Form
OXLUMO® Referral Form
PASATRU® Referral Form
Paroxysmal Nocturnal Hemoglobinuria Referral Form
RYPLAZIM® Referral Form
UPLIZNA® Referral Form
TEPEZZA® Referral Form
VILTEPSO® Referral Form
Asthma Referral Form
Bleeding Disorders Referral Form
QFITLIA™(fitusiran) Referral Form
IMAAVY™ Referral Form
AMVUTTRA® Referral Form
Chronic Gout Referral Form
Dermatology Referral Form
Infectious & Autoimmune Encephalitis (IAE) Referral Form
Gastroenterology Referral Form
Hydration and Nutrition Referral Form
KRYSTEXXA® Referral Form
Rheumatology Referral Form
Acute Home Infusion Referral Form
General Infusion Referral Form
Immunoglobulin Referral Form
YIMMUGO® REFERRAL FORM
Alzheimer’s Disease Referral Form
Amyotrophic Lateral Sclerosis (ALS)
Multiple Sclerosis Referral Form
Myasthenia Gravis Referral Form
RYSTIGGO® Referral Form
ULTOMIRIS® & SOLIRIS® Referral Form
ULTOMIRIS® & SOLIRIS® Referral Form – Spanish
VYVGART™ and VYVGART Hytrulo® Referral Form
VYEPTI® Referral Form
Neuromyelitis Optica Spectrum Disorder (NMOSD) Referral Form
Ophthalmology Referral Form
Fax your completed referral form to 844.797.5050
Scan and email your completed referral form to our secure email at SpecialtyReferrals@SoleoHealth.com
Call us at 844.575.1515 for any questions or assistance
Our referral process is designed with both healthcare providers and patients in mind.
Our team is dedicated to supporting you throughout the referral process and ensuring that your patients receive the highest-quality specialized healthcare services.
Soleo Connect provides real-time access to patient information, reports and updates.
Soleo Connect is our secure patient and provider communication and care management system. It is accessible through a web portal or mobile app.
Soleo Connect seamlessly accesses Soleo Health’s pharmacy and nursing system, allowing for real-time access to patient information, including demographic information, medications, prescriptions, labs, nursing progress notes, equipment dispensed, referrals and documents shared by Soleo Health.
Patients and their caregivers also stay connected to the information needed to manage their care easily and efficiently.
Soleo Health participates in all major national, regional and local health insurance plans, PBMs, Medicare and Medicaid. Contact your local branch or call us at 844.575.1515 or specialtyreferrals@soleohealth.com to find out if we are in network with your patient’s health insurance.