For Providers
How I Can Help:
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Heart Disease
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Chronic Kidney Disease
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Pre-Diabetes/ Diabetes
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Hypertension
Languages Spoken:
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English and Spanish
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If you are a medical provider and would like to refer your patients to a Registered Dietitian Nutritionist, please fill out the electronic patient referral form linked below through my HIPAA-secure EHR. I will be notified once the referral is complete and will reach out to your patient within 48 hours.
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If you prefer to download a patient referral, please fax this completed referral form to my e-fax at (909) 594-0225.
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I am confident we can work together to provide the best, well-rounded care to your patient so they can achieve better health and longevity.
Please note, I am not a contracted Medicare Provider. I can provide a superbill for clients wishing to seek reimbursement for services from insurance companies with whom I am not contracted.
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Thank You For Your Referrals!