Patient Forms

LifeCare Infusion LifeCare Pharmacy LifeCare Medical Supplies

For new patients, please read the patient handout and complete the patient intake forms.

Once you've completed these forms, please fax it to (702) 780-4887 or e-mail it to admin@lifecaremedicalrx.com.

If you have questions regarding certain sections or want more information, call us at (702) 665-5730 or e-mail us at admin@lifecaremedicalrx.com.

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