Make a Synagis Referral

Stop RSV

Make a Synagis referral to protect infants at high risk for severe RSV disease.
Learn more about RSV.

Make a Referral

  1. Fill out the online referral form
  2. Print and sign the form
  3. Fax the form to 731-660-3549

Synagis Referral Form
RSV Prevention Center Referral Form
TennCare Synagis Referral Form

Contact Us

1061 West Forest Avenue

Jackson, TN 38301

T 731-660-6954 or 800-430-4231

F 731-660-3549

About Us

Medical Center Infusion Services, owned and operated by West Tennessee Healthcare, has served Tennesseans since 1997. Our mission is to provide responsible, quality home infusion services to achieve positive patient outcomes.

  • Local pharmacists/nurses
  • 24/7 pharmacist on call
  • Reimbursement services
  • TennCare specialist
  • Appeal help
  • Easy paperwork
  • Synagis website
  • Personal or overnight delivery

RSV Education

NONDISCRIMINATION NOTICE STATEMENT
West Tennessee Healthcare (WTH) does not exclude, deny benefits to, or otherwise discriminate against any person on the grounds of race, color, national origin, age, religion, disability, Limited English Proficiency or sex, including discrimination based on gender identity, sexual orientation, sex stereotyping or pregnancy in admission to, participation in, or receipt of the services and benefits under any of its programs and activities, whether carried out by WTH directly or through a contractor or any other entity with which WTH arranges to carry out its programs and activities.

For further information about this policy, contact Amy Garner (731) 541-9914.