Hoops Infusion Checklist

For Monoclonal Antibodies (Casirivimab) Referrals
Located in the Pediatric BSU within Hoops Family Children’s Hospital on the 5th floor of Cabell Huntington Hospital
Phone: 304.399.1812 • Fax: 304.399.4664

Mountain Health Network Providers

  • Completed Mountain Health Network Covid-19 Monoclonal Antibody Order Set (ALL areas must be completed by provider)
  • Positive COVID-19 test results
  • Demographics or face sheet
  • Contact number for patient
  •  Insurance information

Once the checklist is completed, please fax information to 304.399.4664. A Hoops Outpatient Infusions member will contact the patient with an appointment time.

External Providers

  • Please call 304.399.1812
  • Leave contact information, including phone and fax number

Should you have any questions, please call 304.399.1812. Someone will return your call within 24 hours, Monday through Friday. Closed on weekends and holidays