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For Providers

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How I Can Help:

  • Heart Disease

  • Chronic Kidney Disease

  • Pre-Diabetes/ Diabetes

  • Hypertension 

Languages Spoken:

  • English and Spanish 

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. 


If you prefer to download a patient referral, please fax this completed referral form to my e-fax at (909) 594-0225.

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. 

Thank You For Your Referrals! 

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