Several items must be completed before we can begin procedures you request.
Due to regulatory considerations, a current, signed contract is required to initiate Apheresis services. In addition, technical or nursing staff must be credentialed to enter and work in your facility. If these arrangements are not in place, emergency privileges must be established for professional staff performing the procedures. A signed contract will be initiated as soon as possible.
To initiate emergency privileges:
- Click here to complete the Clinical Apheresis Emergency Authorization contract
- The ordering physician and a clinic/hospital administrative representative must sign and return the Clinical Apheresis Emergency Authorization contract.
- Fax the completed contract to 972-661-9409 and notify the Clinical Apheresis manager at 972-788-0650