Refer a Patient for Zulresso

Our Certified ZULRESSO REMS Center accepts patients ages 18 to 45 diagnosed with moderate to severe postpartum depression.

PATIENT INFORMATION

REFERRING PROVIDER INFORMATION

Please include pertinent patient medical records. We look forward to collaborating with you on your patient's treatment plan.
This patient and I would like to initiate ZULRESSO infusion treatment at Arizona Women's Health Research Center. If special instructions are required, I have indicated those clearly above.