Referrals

Thank you for trusting our Huntsville Nutrition Collective team with your referrals.

Please complete a referral form and send to the fax number listed on the form. If you are a physician or pediatric health care provider or work at a provider’s office, referrals for Huntsville nutrition collective can be sent to 833-629-8753. You can also send us a client demographic sheet via email or fax. Email: info@hsvnutritioncollective.com

NEW: Online Referral Form (HIPAA compliant)

Adult Referral Form

Pediatric Referral Form

We currently cannot accept Medicare or Medicaid. All of our providers are in network with Blue Cross Blue Shield, Cigna, Aetna and are Tricare Certified Providers. For more information about insurance coverage, visit our Insurance and Billing page. Alternately, we can provide a superbill to clients, which they may submit to insurance for reimbursement.