Referrals

Thank you for trusting our team with your referrals.

Please complete a 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.

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. We can bill Cigna as an out of network providers. Alternately, we can provide a superbill to clients, which they may submit to insurance for reimbursement.

Alabama Registered Dietitian Licensure requires a referral be provided by a physician for each client we see.