CRISP Resources for Providers Managing COVID Patients

Referring Patients to Monoclonal Antibody Infusion Sites

CRISP eReferral Tool User Guide

Infusion Site
Infusion Site Website
Workflow
Call to schedule
Fax Number
Referral Form
Email referral form to
Infusion Site
Adventist HealthCare Takoma Park Alternative Care Site Infusion Center
Workflow
Use CRISP referral form or fax referral form to 301.891.6120
Call to schedule
N/A
Fax Number
301.891.6120
Referral Form
Email referral form to
N/A
Infusion Site
American Infusion Services (for at-home or LTC facilities)
Infusion Site Website
Workflow
Complete online referral form or call 1-855-AM-INFUSE
Call to schedule
1-855-AM-INFUSE
Fax Number
N/A
Referral Form
Email referral form to
N/A
Infusion Site
Anne Arundel Medical Center
Infusion Site Website
N/A
Workflow
Fax referral to 442.481.5744
Call to schedule
N/A
Fax Number
442.481.5744
Referral Form
Email referral form to
N/A
Infusion Site
Atlantic General Hospital
Infusion Site Website
N/A
Workflow
Call to schedule
N/A
Fax Number
410.641.9708
Referral Form
Email referral form to
N/A
Infusion Site
Baltimore Convention Center Field Hospital (BCCFH)
Infusion Site Website
Workflow
Complete this online referral form
(secure, HIPAA-compliant)
Call to schedule
N/A
Fax Number
N/A
Referral Form
Email referral form to
Auto form sent upon completion
Infusion Site
CalvertHealth Outpatient COVID Treatment Clinic
Infusion Site Website
N/A
Workflow
Use CRISP Referral System or email referral form
Call to schedule
N/A
Fax Number
N/A
Referral Form
Email referral form to
Infusion Site
Charles Regional Medical Center Infusion Clinic (UM CRMC)
Infusion Site Website
Workflow
Use CRISP Referral System or fax form to 301.934.1798
Call to schedule
301.609.4039
Fax Number
301.934.1798
Referral Form
Email referral form to
N/A
Infusion Site
ChristianaCare Union Hospital
Infusion Site Website
N/A
Workflow
Use CRISP Referral System or fax form to 410.392.2637
Call to schedule
N/A
Fax Number
410.392.3637
Referral Form
Email referral form to
N/A
Infusion Site
City of Praise
Infusion Site Website
N/A
Workflow
Call 443.459.1095
Call to schedule
443.459.1095
Fax Number
N/A
Referral Form
Email referral form to
N/A
Infusion Site
Frederick Health Hospital
Infusion Site Website
N/A
Workflow
Fax referral form to 240.566.4833
Call to schedule
N/A
Fax Number
240.566.4833
Referral Form
Email referral form to
N/A
Infusion Site
Garrett Regional Medical Center
Workflow
Use CRISP Referral System or fax form to 301.533.4198
Call to schedule
N/A
Fax Number
301.533.4198
Referral Form
Email referral form to
N/A
Infusion Site
Hatzalah of Baltimore
Infusion Site Website
Workflow
Call to schedule
N/A
Fax Number
N/A
Referral Form
Email referral form to
Auto form sent upon completion
Infusion Site
Nasseri Clinics
Infusion Site Website
N/A
Workflow
Fax form to 410.744.8036
Call to schedule
N/A
Fax Number
410.744.8036
Referral Form
Email referral form to
N/A
Infusion Site
MedStar Harbor Hospital Infusion Center
Infusion Site Website
Workflow
Fax form to 443.583.0651; or visit MedStar Referral Form via secure link
Call to schedule
N/A
Fax Number
443.583.0651
Referral Form
Email referral form to
N/A
Infusion Site
MedStar Southern Maryland Infusion Center
Infusion Site Website
Workflow
Fax form to 443.583.0651; or visit MedStar Referral Form via secure link
Call to schedule
N/A
Fax Number
443.583.0651
Referral Form
Email referral form to
N/A
Infusion Site
MedStar St. Mary's Infusion Center
Infusion Site Website
Workflow
Fax form to 443.583.0651; or visit MedStar Referral Form via secure link
Call to schedule
N/A
Fax Number
443.583.0651
Referral Form
Email referral form to
N/A
Infusion Site
Mercy Infusion Center
Infusion Site Website
Workflow
Use CRISP Referral System or Call 301.905.2351 (or email Nicole Bahadursingh, pbaha@mdmercy.com)
Call to schedule
N/A
Fax Number
N/A
Referral Form
Email referral form to
pbaha@mdmercy.com
Infusion Site
Meritus Regional Infusion Center
Workflow
Use CRISP Referral System or fax referral form to 301.790.9229
Call to schedule
N/A
Fax Number
301.790.9229
Referral Form
Email referral form to
Infusion Site
Odenton Fire Department
Infusion Site Website
N/A
Workflow
Call 443.459.1095
Call to schedule
443.459.1095
Fax Number
N/A
Referral Form
Email referral form to
N/A
Infusion Site
Soliel Pharmacy
Infusion Site Website
Workflow
Use CRISP Referral System, visit online referral form , or Fax MDH referral to (410) 582-8728
Call to schedule
443.281.9157
Fax Number
410.582.8728
Referral Form
Email referral form to
N/A
Infusion Site
TidalHealth Peninsula Regional
Infusion Site Website
N/A
Workflow
Use CRISP Referral System, email form, or fax form
Call to schedule
N/A
Fax Number
410.912.4959
Referral Form
Email referral form to
Infusion Site
UMMS Shore Medical Center at Easton Infusion Center
Infusion Site Website
N/A
Workflow
Use CRISP Referral System or Fax Form
Call to schedule
N/A
Fax Number
443.583.0651
Referral Form
Email referral form to
N/A
Infusion Site
UMMS Capital Region Health-Laurel Alternate Care Site Infusion Center at Laurel Medical Center
Workflow
Use CRISP Referral System or Fax Form
Call to schedule
N/A
Fax Number
301.256.9224
Referral Form
Email referral form to
N/A
Infusion Site
UPMC Western Maryland Infusion Center
Workflow
Use CRISP Referral System or Email form to WMD-COVIDantibody@upmc.edu
Call to schedule
N/A
Fax Number
N/A
Referral Form
Email referral form to
Infusion Site
Upper Chesapeake Infusion Center
Infusion Site Website
N/A
Workflow
Use CRISP Referral System or fax referral form to 443.643.1545
Call to schedule
N/A
Fax Number
443.643.1545
Referral Form
Email referral form to
N/A

Reporting Point of Care COVID-19 Test Results

Organizations who are performing point-of-care COVID-19 testing are required to report results to the Maryland Department of Health (MDH) through CRISP if they do not have access to an existing mechanism for reporting.

To submit your patient’s test results:

  1. Log into your CRISP ULP account
  2. Search the Patient (First Name, Last Name, and Date of Birth are required)
  3. Select the appropriate patient from the Patient Search Results list by checking the box in the “Include” column on the right-hand side of the screen
    1. If your patient is not found, click the “No Patient: COVID-19 Lab Tools” to manually begin the submission process
    2. If your patient is found, click the “COVID-19 Lab Tools” tab at the top of the screen
  4. Navigate to the “Report Point of Care Test Results” tab
  5. Complete the fields provided
    1. Please note, the supplementary questions on this form are required for reporting to CDC
  6. Click Submit

Viewing Your Patient’s Lab Results Through CRISP

Participating providers have access to view COVID-19 lab results along with other related clinical documentation within our Health Records application.” If you or select members of your staff do not have access to the tools mentioned above and would like to onboard for services, please contact your CRISP Outreach Liaison or the CRISP Customer Care Team by calling 1.877.952.7477 or emailing support@crisphealth.org.