Services for Referring Doctors
Transforming lives from within™
At Holistique, we offer a wide range of IV services beyond our standard IV Lounge menu. Physicians outside of Holistique are welcome to refer patients for custom IV therapies that address chronic conditions and extend beyond general wellness treatments.
To refer a patient for IV therapy not listed in our standard menu, simply complete the "Referring IV Patients" form. Please fax the form, with list of allergies, medications, most recent chart note and labs to 1-833-371-1483. We recommend following up with a phone call to confirm and review the order.
Referral Process for Providers:
If you're a healthcare provider looking to refer your patient to Holistique Medical Center for IV therapy, we are here to assist. The steps are as follows:
1. Referring provider completes our referral form.

2. Fax completed form, with complete list of allergies, medications, most recent chart note and any relevant labs to 1-833-371-1483.

3. Holistique provider reviews form.

4. Once approved, referred patient will be contacted and scheduled for IV administration.
If you have any questions, please feel free to contact us!