Give A Referral

Physician Referral for Medical Nutrition Therapy 

We appreciate referrals from any health professionals that may see us as a team member in improving the health of your clients or patients.

To Refer a client of yours to us:

Step 1:
Please complete the Medical Nutrition Therapy Referral Form and fax it to us with their contact information and reason for referral. We will reach out to your client

Step 2:
Also give your client this handout so they may contact us.  We find that it increases the chances of the client coming in if you give them to call to action to reach out to us as well. It seems to enhance readiness to make the lifestyle changes.

How to Refer Your Clients to Love to Live Well for Medical Nutrition Therapy:

  1. Complete the referral form below with client information, the appropriate diagnosis, sign, date, and fax to (940) 312-7283 
  2. Include labs/reports and any specific recommendations you may have with regard to your client/patient with your fax. 
  3. Love to Live Well will contact your client to schedule an initial appointment, but please give your client this handout with more information about us and our contact information.
  4. If we contact your client three times and are unable to successfully schedule them, we will contact your office to notify you. 

 

Form for Physicians and other Health Professionals

Referrals by my colleagues of individuals, families, or groups in need of my services are greatly appreciated. So that I may add you to my list of community resources, please be sure to leave your specializations and contact information along with whether you are accepting new clients. 

Other Health Professionals Referrals by my colleagues of individuals, families, or groups in need of my services are greatly appreciated. So that I may add you to my list of community resources, please be sure to leave your specializations and contact information along with whether you are accepting new clients.

All Other Referrals

Referrals of individuals, families, or groups by previous clients or workshop attendees is always appreciated.