For Bebtelovimab, please fax consent, order, monoclonal intake form, a copy of the (+) test and an office note to (518) 926-6286. PLEASE NOTE: it is no longer necessary to page the COVID-19 pharmacist for approval
TREATMENT (Bebtelovimab) | PROPHYLAXIS (Evusheld) |
---|---|
Consent | Consent |
Drug Order Form | Drug Order Form |
Intake | Patient Fact Sheet |
Patient Fact Sheet | Provider Fact Sheet |
Provider Fact Sheet | Intake |
MD Communication
Provider Scripting for Monoclonal Antibody Treatment for COVID 19