Referrals

Need to make a referral to our office? Please fax or email us a detailed chart summary or referral letter, which should include all relevant diagnosis codes and contact information for proper processing. We will reach out to your client directly if contacted information is included.

Fax: 1-800-820-0434

Email: office@healandhopenutrition.com

Form: Blank Referral Template for your convenience

Note: As Registered Dietitians, it is out of our scope of practice to make medical or mental health diagnoses. In order to bill insurance, we need documentation of the relevant diagnosis from the primary care provider or mental health counselor. It speeds up our processes when this information is sent with a referral. Thank you for your assistance.