Provider Referral Form
If you are a provider working with someone who could benefit from my services, please print this form and fax or mail it to me. I take a team-oriented approach to client care, happy to collaborate with you on you client's needs.
I welcome your referrals regarding:
- People who need guidance in all phases of diabetes care
- Starting on insulin
- Gestational diabetes
I'll be adding Continuous Glucose Monitoring (CGM) in the near future.
- heart disease
- high cholesterol
- anti-inflammation guidelines/Functional Nutrition
- kidney disease
- other areas by request