Provider Referral Form

If you are a provider working with someone who could benefit from my services, please fill out the form below and fax it to me at 503-208-7114. I take a team-oriented approach to client care, happy to collaborate with you on you client's needs.    I welcome your referrals regarding:

Diabetes

  • people who need guidance in all phases of diabetes care
  • starting on insulin
  • checking A1C (in my office)
  • gestational diabetes

I'll be adding Continuous Glucose Monitoring (CGM) in the near future.

Nutrition

  • heart disease
  • SIBO
  • high cholesterol
  • anti-inflammation guidelines/Functional Nutrition
  • kidney disease
  • other areas by request

Click here to download a provider referral form