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.

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.

Referral Form: Huntsville Nutrition Collective Referral Form

Thank you for trusting me with your referrals.