For outside clinicians and practices
A clear starting point for IV iron referrals.
Apotheosis Health provides iron sucrose infusions in Bangor after provider review. Referrals begin with the order form below.
Service available
Iron sucrose for members and non-members.
The current infusion price is $300 for members and $350 for non-members. The infusion is cash pay and is not billed to insurance.
Patient-facing IV iron overviewDownload the fillable IV Iron Order Form (PDF, approximately 177 KB)
- 1
Download the IV Iron Order Form
Open or download the form and complete the requested patient and ordering-provider information.
- 2
Complete and fax the form
Fax the completed form with recent relevant labs to Apotheosis Health at (207) 543-4502.
- 3
Apotheosis reviews the information
A provider reviews the form and recent labs before treatment is scheduled.
Referral contact information
Questions about a referral?
Apotheosis Health
4 Union Plaza, Suite 1
Bangor, ME 04401
Phone/text: (207) 952-8784
Fax: (207) 543-4502
Referral questions
Questions about a referral?
Call us at (207) 952-8784.