Infusion Order Forms

Antihypertensive Cocktail Order

Myers Cocktail 1 Order

Executive Stress IV Formula Order

General Vitamin/Mineral Repletion Order

Glutathione Push Order

Glycyrrhizin Order

Ketamine for Depression

Macular Degeneration Cocktail Order

Rehydration in NS 0.45% Order

Rehydration in Sterile Water 1000mL Order

Rehydration in Sterile Water 1000ml plus Amino Acids

Rehydration in Sterile Water Order

Rehydration in Sterile Water plus Amino Acids

Super Immune Cocktail Order

Easy Myers Cocktail

Myers Cocktail 2 Order

Meyers Cocktail 3 Push (WBC stimulation) Order

Surgical Recovery Order

General Vitamin/Mineral Repletion for Cancer Patients Order

Antiviral Order

Augmented Glutathione for Radiation Recovery Order

Migraine with Magnesium Order

IV Health Patient Referral Information Sheet

Providers
Address

Temporary Location:
731 12th Ave NW, Ste 202
Ardmore, OK 73401

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