Apheresis Service and Therapeutic Phlebotomy Request

Geisinger Medical Laboratories is introducing a new process for ordering Therapeutic Apheresis for providers who do not have access to Epic, our electronic health record. Do you need to request an appointment at Geisinger for one of your patients? No problem! Here is our new Apheresis Service and Therapeutic Phlebotomy Request form.

Please complete and print the form. Fax the completed form to the Apheresis Clinic at either Geisinger Medical Center (GMC) in Danville at 570-271-7132 or Geisinger Wyoming Valley Medical Center (GWV) in Wilkes-Barre at 570-808-3167.  

Please call the Apheresis Clinic (GMC 570-271-8959 or GWV 570-808-7415) to ensure the fax was received.  The Apheresis Clinic will then contact the patient to schedule the Apheresis appointments.

For questions about completing this form or for consultation with an Apheresis Provider please call the Apheresis Clinic at either Geisinger Medical Center (GMC) in Danville at 570-271-8959 or Geisinger Wyoming Valley Medical Center (GWV) in Wilkes-Barre at 570-808-7415.

Apheresis Service and Therapeutic Phlebotomy Request

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