Specialty Medical IV Infusion
Order Forms
At Urgent Care Of Texas Infusion, we can administer or
dispense a multitude of infusions and
injectable therapies through both a patient’s
major medical and pharmacy benefits.
Complete the Order Forms & fax to (817) 472-7213
Or Email: IV@urgentcaretexas.com
Specialty Medical IV Infusion
Order Forms
Completed Order Forms faxed to (817) 472-7213
Specialty Medical IV Infusion
Below you will find downloadable order forms for the most common therapies requested.
If you do not see the medication your patient requires, please contact us directly here or fill out this Order IV Infusion Form. Our formulary team can quickly review the request to determine if we can provide the medication.
Actemra (tocilizumab) – Pediatric
Anti-Infectives (Antibiotics, Antivirals, & Antifungals)
Cinqair (reslizumab)
Briumvi (ublituximab-xiiy)
Cosentyx IV (secukinumab)
Ilumya (tildrakizumab-asmn)
Infliximab (infliximab)
Immune Globulin (IV)
Injectafer (ferric carboxymaltose)
Simponi Aria (golimumab)
Spevigo (spesolimab-sbzo)
Skyrizi IV (risankizumab-rzaa)
Stelara IV (ustekinumab)
Can't Find What You Need?
Contact our formulary team for medications not listed or to request a customized referral form!
Our Urgent Care Locations
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How it Helps you Stay Healthy
We pride ourselves in putting the patient first, making their well-being a priority.
Our board-certified providers are readily available either in person or via telemedicine. Our telemedicine option is available 24/7.
Urgent Care of Texas provides a quality care experience to our patients. From the moment you walk into the moment you leave, we will cater to your needs.
We are committed to the Prevention, Diagnostic Screening of Ailments, Treatment, and Management of illness and the Preservation of Physical and Mental Health.
Client Feedback & Reviews
Dr. Umar Saeed is the best PCP I ever had today. However, while I waiting in the lobby. Some absurd woman thought it would be okay to bring a service dog to an Urgent Care. The staff handled it as much they could with her because it’s gross and this is not veterinary office. Anyhow, I got an IV during my visit for hydration and the PCP was attentive to my concerns and took care of me.
I like this urgent care so much, everyone is so friendly and kind so for sure it is busy 😉 but everyone is really helpful also their place is open even in holidays for couples of hours✨ I have health conditions that require regular IVs to stay hydrated. A friend referred me here, saving me from driving from Mansfield to Dallas Medical City every two weeks. The staff is amazing—attentive, quick, and understanding of my rare condition.
After battling infection symptoms for two weeks—fevers, headaches, and body aches—I found no help from my primary care or an ER visit in Dallas. Both dismissed me after negative swabs, telling me to alternate Tylenol and ibuprofen. Feeling hopeless, I came here. Within an hour, I had a chest X-ray, was diagnosed with walking pneumonia, and received IV antibiotics and steroids. I felt better immediately. This clinic saved me by truly listening. Thank you for taking me seriously!
With seasonal allergy season in full swing, Urgent Care of Texas has been a lifesaver! I was struggling with constant sneezing, congestion, and watery eyes, but their team provided quick, effective relief. The staff was friendly and attentive, and they even helped me reserve a spot online, so I didn’t have to wait long. If you’re dealing with allergy symptoms, I highly recommend stopping by Urgent Care of Texas—they'll have you feeling better in no time!"
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You can count on us to care for your health and provide helpful information. Because protecting people’s health is why we’re here, and it’s what we’ll always do.
