{"id":49,"date":"2023-11-02T18:36:30","date_gmt":"2023-11-02T18:36:30","guid":{"rendered":"https:\/\/ameripharmaspecialty.com\/?page_id=49"},"modified":"2025-09-23T16:54:52","modified_gmt":"2025-09-23T23:54:52","slug":"referral-forms","status":"publish","type":"page","link":"https:\/\/ameripharmaspecialty.com\/vi\/referral-forms\/","title":{"rendered":"Bi\u1ec3u m\u1eabu gi\u1edbi thi\u1ec7u"},"content":{"rendered":"<style>\n    .ct_iconbox{\n        background-color:white    }\n<\/style>\n<div  id=\"icon-box-a3e33136584fe0230f587091e67f51b8\" style=\"\" class=\"ct_iconbox\">\n    <div class=\"container\">\n        <div class=\"block-wrap iconbox\">\n        <h2 class=\"iconbox_heading\">Ba c\u00e1ch k\u00ea \u0111\u01a1n<\/h2>\n            <div class=\"iconbox_inner col3\">\n                                                                                    <div class=\"iconbox_inner_col_box icon-top\">\n                                                            <img decoding=\"async\" src=\"https:\/\/ameripharmaspecialty.com\/wp-content\/uploads\/2024\/12\/Group-19.svg\" alt=\"Fax It To Us\" width=\"66\">\n                                                                                        <h3>G\u1eedi Fax cho Ch\u00fang t\u00f4i<\/h3>\n                                                                                        <strong>(877) 778-0399<\/strong>\n                                                                                        <div class=\"content\"><p>V\u00e0 ch\u00fang ta s\u1ebd b\u1eaft tay v\u00e0o l\u00e0m vi\u1ec7c.<\/p>\n<\/div>\n                                                        \n                        <\/div>\n                                                                    <div class=\"iconbox_inner_col_box icon-top\">\n                                                            <img decoding=\"async\" src=\"https:\/\/ameripharmaspecialty.com\/wp-content\/uploads\/2024\/12\/Group-20.svg\" alt=\"E-Prescribe\" width=\"66\">\n                                                                                        <h3>E-K\u00ea \u0111\u01a1n<\/h3>\n                                                                                        <strong>Ch\u0103m s\u00f3c \u0111\u1eb7c bi\u1ec7t AmeriPharma\u00ae<\/strong>\n                                                                                        <div class=\"content\"><p>132 S. Anita Dr. 2nd Floor v\u00e0 Ste 310<br \/>\nOrange, CA 92868<br \/>\nNPI# 1336170679<\/p>\n<\/div>\n                                                        \n                        <\/div>\n                                                                    <div class=\"iconbox_inner_col_box icon-top\">\n                                                            <img decoding=\"async\" src=\"https:\/\/ameripharmaspecialty.com\/wp-content\/uploads\/2024\/12\/Vector-1.svg\" alt=\"Call Us\" width=\"66\">\n                                                                                        <h3>G\u1ecdi cho ch\u00fang t\u00f4i<\/h3>\n                                                                                        <strong><a href=\"tel:8777780318\">(877) 778-0318<\/a><\/strong>\n                                                                                        <div class=\"content\"><p>\u0110\u1ec3 k\u00ea \u0111\u01a1n thu\u1ed1c b\u1eb1ng l\u1eddi n\u00f3i.<\/p>\n<\/div>\n                                                        \n                        <\/div>\n                                                <\/div>\n        <\/div>\n    <\/div>\n<\/div>\n\n\n<div class=\"wp-block-columns mb-30 is-layout-flex wp-container-core-columns-is-layout-9d6595d7 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:100%\"><div  id=\"pdf-forms-5dc28586e1921aecd8fcd184848e862b\" style=\"\" class=\"pdfForms\">\n    <div class=\"container\">\n        <div class=\"block-wrap ct_pdfForms\">\n        <h2 class=\"pdfForms_heading\">Bi\u1ec3u m\u1eabu<\/h2>\n            <div class=\"pdfForms_inner col2\">\n                                                                                        <div class=\"pdfForms_inner_col_box\">\n                                <h3>Immunoglobulin (IG) IV<\/h3>\n                                <ul>\n                                                                                                                <li>\n                                            <a href=\"https:\/\/ameripharmaspecialty.com\/wp-content\/uploads\/2024\/11\/IVIG-SubQ-Order-Form.pdf\" target=\"_blank\" > \n                                                <img decoding=\"async\" src=\"https:\/\/ameripharmaspecialty.com\/wp-content\/themes\/ct-theme\/assets\/img\/pdf-icon.png\" alt=\"PDF\" \/>\n                                                T\u1ea3i xu\u1ed1ng m\u1eabu gi\u1edbi thi\u1ec7u\n                                            <\/a>\n                                        <\/li>\n                                                                    <\/ul>\n                            <\/div>\n                                                                                                <div class=\"pdfForms_inner_col_box\">\n                                <h3>B\u1ec7nh th\u1ea5p kh\u1edbp<\/h3>\n                                <ul>\n                                                                                                                <li>\n                                            <a href=\"https:\/\/ameripharmaspecialty.com\/wp-content\/uploads\/2024\/11\/RHEUMATOLOGY-REFERRAL-FORM.pdf\" target=\"_blank\" > \n                                                <img decoding=\"async\" src=\"https:\/\/ameripharmaspecialty.com\/wp-content\/themes\/ct-theme\/assets\/img\/pdf-icon.png\" alt=\"PDF\" \/>\n                                                T\u1ea3i xu\u1ed1ng m\u1eabu gi\u1edbi thi\u1ec7u\n                                            <\/a>\n                                        <\/li>\n                                                                    <\/ul>\n                            <\/div>\n                                                                                                <div class=\"pdfForms_inner_col_box\">\n                                <h3>Immunoglobulin (IG) SubQ <\/h3>\n                                <ul>\n                                                                                                                <li>\n                                            <a href=\"https:\/\/ameripharmaspecialty.com\/wp-content\/uploads\/2025\/06\/SubQ-Order-Form.pdf\" target=\"_blank\" > \n                                                <img decoding=\"async\" src=\"https:\/\/ameripharmaspecialty.com\/wp-content\/themes\/ct-theme\/assets\/img\/pdf-icon.png\" alt=\"PDF\" \/>\n                                                T\u1ea3i xu\u1ed1ng m\u1eabu gi\u1edbi thi\u1ec7u\n                                            <\/a>\n                                        <\/li>\n                                                                    <\/ul>\n                            <\/div>\n                                                                                                <div class=\"pdfForms_inner_col_box\">\n                                <h3>Ung th\u01b0 h\u1ecdc<\/h3>\n                                <ul>\n                                                                                                                <li>\n                                            <a href=\"https:\/\/ameripharmaspecialty.com\/wp-content\/uploads\/2024\/11\/ONCOLOGY-REFERRAL-FORM.pdf\" target=\"_blank\" > \n                                                <img decoding=\"async\" src=\"https:\/\/ameripharmaspecialty.com\/wp-content\/themes\/ct-theme\/assets\/img\/pdf-icon.png\" alt=\"PDF\" \/>\n                                                T\u1ea3i xu\u1ed1ng m\u1eabu gi\u1edbi thi\u1ec7u\n                                            <\/a>\n                                        <\/li>\n                                                                    <\/ul>\n                            <\/div>\n                                                                                                <div class=\"pdfForms_inner_col_box\">\n                                <h3>Vi\u00eam gan C<\/h3>\n                                <ul>\n                                                                                                                <li>\n                                            <a href=\"https:\/\/ameripharmaspecialty.com\/wp-content\/uploads\/2024\/11\/hepatitis-c-referral-form.pdf\" target=\"_blank\" > \n                                                <img decoding=\"async\" src=\"https:\/\/ameripharmaspecialty.com\/wp-content\/themes\/ct-theme\/assets\/img\/pdf-icon.png\" alt=\"PDF\" \/>\n                                                T\u1ea3i xu\u1ed1ng m\u1eabu gi\u1edbi thi\u1ec7u\n                                            <\/a>\n                                        <\/li>\n                                                                    <\/ul>\n                            <\/div>\n                                                                                                <div class=\"pdfForms_inner_col_box\">\n                                <h3>Ti\u00eau h\u00f3a<\/h3>\n                                <ul>\n                                                                                                                <li>\n                                            <a href=\"https:\/\/ameripharmaspecialty.com\/wp-content\/uploads\/2025\/08\/Gastroenterology-Referral-Form.pdf\" target=\"_blank\" > \n                                                <img decoding=\"async\" src=\"https:\/\/ameripharmaspecialty.com\/wp-content\/themes\/ct-theme\/assets\/img\/pdf-icon.png\" alt=\"PDF\" \/>\n                                                T\u1ea3i xu\u1ed1ng m\u1eabu gi\u1edbi thi\u1ec7u\n                                            <\/a>\n                                        <\/li>\n                                                                    <\/ul>\n                            <\/div>\n                                                                                                <div class=\"pdfForms_inner_col_box\">\n                                <h3>Th\u1ea7n kinh h\u1ecdc<\/h3>\n                                <ul>\n                                                                                                                <li>\n                                            <a href=\"https:\/\/ameripharmaspecialty.com\/wp-content\/uploads\/2024\/11\/Neurology-Order-Form-1.pdf\" target=\"_blank\" > \n                                                <img decoding=\"async\" src=\"https:\/\/ameripharmaspecialty.com\/wp-content\/themes\/ct-theme\/assets\/img\/pdf-icon.png\" alt=\"PDF\" \/>\n                                                T\u1ea3i xu\u1ed1ng m\u1eabu gi\u1edbi thi\u1ec7u\n                                            <\/a>\n                                        <\/li>\n                                                                    <\/ul>\n                            <\/div>\n                                                                                                <div class=\"pdfForms_inner_col_box\">\n                                <h3>B\u1ec7nh m\u00e1u kh\u00f3 \u0111\u00f4ng<\/h3>\n                                <ul>\n                                                                                                                <li>\n                                            <a href=\"https:\/\/ameripharmaspecialty.com\/wp-content\/uploads\/2024\/11\/Updated_05.04.2024-Hemophilia-Referral-form.pdf\" target=\"_blank\" > \n                                                <img decoding=\"async\" src=\"https:\/\/ameripharmaspecialty.com\/wp-content\/themes\/ct-theme\/assets\/img\/pdf-icon.png\" alt=\"PDF\" \/>\n                                                T\u1ea3i xu\u1ed1ng m\u1eabu gi\u1edbi thi\u1ec7u\n                                            <\/a>\n                                        <\/li>\n                                                                    <\/ul>\n                            <\/div>\n                                                                                                <div class=\"pdfForms_inner_col_box\">\n                                <h3>TPN<\/h3>\n                                <ul>\n                                                                                                                <li>\n                                            <a href=\"https:\/\/ameripharmaspecialty.com\/wp-content\/uploads\/2025\/05\/TPN-Referral-Form.pdf\" target=\"_blank\" > \n                                                <img decoding=\"async\" src=\"https:\/\/ameripharmaspecialty.com\/wp-content\/themes\/ct-theme\/assets\/img\/pdf-icon.png\" alt=\"PDF\" \/>\n                                                T\u1ea3i xu\u1ed1ng m\u1eabu gi\u1edbi thi\u1ec7u\n                                            <\/a>\n                                        <\/li>\n                                                                    <\/ul>\n                            <\/div>\n                                                                        <\/div>\n        <\/div>\n    <\/div>\n<\/div>\n<\/div>\n<\/div>","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":true,"om_disable_all_campaigns":false,"_uag_custom_page_level_css":"","footnotes":""},"categories":[],"tags":[],"class_list":["post-49","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Referral Forms - AmeriPharma\u00ae Specialty Care<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/ameripharmaspecialty.com\/vi\/referral-forms\/\" \/>\n<meta property=\"og:locale\" content=\"vi_VN\" 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