COVID-19 Infusion Center Survey

We know this is a difficult time for everyone. During this crisis, NICA wants to know what challenges you and your offices are experiencing so we can continue to create resources and provide as much support as possible to the infusion community.

Question Title

* 1. To start, please enter your contact information:

Your name (first and last)

Office name

Title

City/Town

State/Province

Email Address

Question Title

* 2. Is your office currently open or closed?

Open

Closed

Question Title

* 3. Does your office accept Medicare or Medicaid patients?

Medicare

Medicaid

Both

Neither

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* 4. Do you have the capacity to accept outside patients displaced from hospital outpatient infusion departments and/or other closed facilities?

Yes

Other (please specify)

Question Title

* 5. Approximately how many more days can you operate on your current supply of saline, PPE, and supplies if not replenished?

1-6 days

One week

Two weeks

Three weeks

One month

More than one month

Other (please specify)

COVID-19 Infusion Center Survey

Question Title

* 1. To start, please enter your contact information:

Question Title

* 2. Is your office currently open or closed?

Question Title

* 3. Does your office accept Medicare or Medicaid patients?

Question Title

* 4. Do you have the capacity to accept outside patients displaced from hospital outpatient infusion departments and/or other closed facilities?

Question Title

* 5. Approximately how many more days can you operate on your current supply of saline, PPE, and supplies if not replenished?

Question Title

* 6. Are there any other challenges you are experiencing?