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Help your patients access care they can stick with and see results from

Refer with confidence knowing each patient gets personalized care that meets them where they are and helps them progress.

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Patient Referral Form

Group NPI: 1982209680

Patient Information

Date of Birth*

Phone*

Referring Provider Information

Fax*

Date*

This form is HIPAA compliant to protect your patients' information. Unauthorized use or disclosure is prohibited. If submitted in error, please contact us immediately.

Referral received!

Thank you for referring your patient to Everlong. Our team will reach out to your patient within 1 business day.

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Questions? We have answers

Refer a Patient
What conditions do Everlong dietitians work with?

Our dietitians address a wide range of conditions, including eating disorders and disordered eating, chronic conditions such as diabetes and heart disease, pediatric and prenatal nutrition, sports nutrition, weight management, and women’s health. We work with patients to develop customized nutrition plans that cater to their unique needs, helping them achieve optimal health and well-being.

Click here to learn more about the types of conditions we work with.

How fast will my patient be contacted once I refer them?

Once you refer your patient to Everlong, we will contact them within 24 hours to get scheduled.

What age range do Everlong dietitians see?

Everlong dietitians see patients of all ages, starting from children aged 10 to older adults. We provide tailored nutrition counseling to meet the unique needs of each age group, ensuring that everyone receives the appropriate support for their health and wellness goals.

Do you send patients’ chart notes to referring providers for collaborative care?

Yes, we send patients’ chart notes to their referring providers for collaborative care. If you would like to receive these notes more regularly, please don’t hesitate to reach out to us.

I’m interested in a partnership with Everlong; who should I contact?

We’re always excited to collaborate! If you’re interested in partnering with Everlong in any capacity, please don’t hesitate to reach out to us at refer@geteverlong.com. We’d love to connect you with our partnerships team to explore how we can work together to support our shared goals.

Can Everlong dietitians prescribe or manage medications?

No, registered dietitians are not licensed to prescribe or manage medications. Everlong dietitians specialize in medical nutrition therapy, providing personalized nutrition counseling. For medication management, we recommend working in conjunction with the patient's physician or another licensed medical provider. We believe in a collaborative care approach and are happy to work alongside your team to provide the best possible outcomes for your patients.