Clinical
information.
A completed referral, an appropriate prescription and the relevant clinical information will support the review of each patient’s care needs.
Referral Form
Physicians and nurse practitioners can submit referrals through OceanMD or complete our fillable referral form for IV iron therapy (Monoferric® or Ferinject®). Completed forms can be sent by fax to 844-761-1732 or secure email to referrals@vitalityiv.ca.
Download and save the fillable PDF before completing it.
Submit a Referral
- Fax
- 844-761-1732
- Referral Email
- referrals@vitalityiv.ca
For general enquiries, email contact@vitalityiv.ca.
Opening November 3, 2026, inside Maze RX Pharmacy at 5991 Spring Garden Road, Suite 285, Halifax, Nova Scotia.
How referrals work
Clarity for you.
Continuity for your patient.
Clinical
Review &
coordination.
The clinic will review eligibility and coordinate appointment information and medication arrangements with the patient.
Treatment &
communication.
Treatment records and relevant updates will support continuity of care. The referring prescriber will guide ongoing assessment and follow-up.
Referral requirements
The details
you will need.
01
Confirmed service scope and patient eligibility
02
A completed referral form and the prescription information required for your patient’s treatment
03
Required laboratory and clinical information
04
Secure referral submission and clinic contacts
HEALTHCARE-PROVIDER RESOURCES
Canadian product monographs
For healthcare professionals. Consult the current Canadian product monograph for prescribing information. These references do not replace patient-specific assessment or prescribing.
VITALITY IV · NOVA SCOTIA
Book your
appointment.
Vitality IV provides safe, effective iron infusion therapy in Nova Scotia, helping patients restore energy and treat iron deficiency quickly. With on-site pharmacy services and nurse-supervised care, Vitality IV makes iron infusions simple, convenient, and accessible.
Book Now