Please complete this referral form and send to the fax number listed on the form. If you are a provider or work at a provider’s office, referrals can be sent to 833-629-8753.

I currently cannot accept Medicare or Medicaid. I am in network with Blue Cross Blue Shield. I can bill Cigna as an out of network providers. Alternately, I can provide a superbill to clients, which they may submit to insurance for reimbursement.

Referral Form: Chelsea Edwards Nutrition Referral Form

Thank you for trusting me with your referrals.