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NPI #: 1730504002IVIG NEUROLOGY/IMMUNOLOGY REFERRAL FORM (PAGE 1 OF 2)TEL: 8775678087 FAX: 8775678089Patient Name ___ SS#___ DOB ___ Male Female Street Address ___ Apt# ___ City ___ State ___ Zip
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How to fill out ivig - neurologyimmunology

01
Consult with a healthcare provider to determine if IVIG is a necessary treatment.
02
Obtain the necessary IVIG prescription from the healthcare provider.
03
Ensure that the IVIG infusion is administered in a medical setting by trained professionals.
04
Follow proper hygiene practices before and during the infusion process.
05
Monitor for any potential side effects during and after the IVIG infusion.
06
Keep track of the infusion schedule and follow up with the healthcare provider as needed.

Who needs ivig - neurologyimmunology?

01
Patients with immune deficiencies
02
Patients with autoimmune disorders
03
Patients with certain neurological conditions
04
Patients undergoing organ transplant procedures
05
Patients with certain infections that affect the immune system
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IVIG stands for Intravenous Immunoglobulin, which is a treatment used in neurology and immunology to boost the immune system.
Patients with certain neurological and immunological disorders may be required to undergo IVIG treatment.
IVIG treatment is administered by healthcare professionals through intravenous infusion.
The purpose of IVIG treatment in neurology and immunology is to provide passive immunity to patients with compromised immune systems.
Information such as the patient's medical history, blood test results, and treatment plan must be reported on IVIG - neurologyimmunology forms.
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