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Complete the form on this page with patient and referring-office details.
Three ways to connect your patient with endocrine and weight care.
Complete the form on this page with patient and referring-office details.
Send the referral and available records.
Call our team to make a referral.
We contact the patient or family to schedule, then send the visit note to your office.
Prepare the referral
Send the records you have. New labs are not needed to request care.
Clinical scope
Weight and metabolic health; prediabetes and type 2 diabetes; growth; puberty; thyroid conditions; and PCOS or irregular periods.
We care for ages 0–26. Patients must be in Virginia or Maryland during video visits. We are not currently accepting new patients for type 1 diabetes.
Explore our clinical approachFor time-sensitive clinical concerns, call (571) 480-6053. This referral form is not for emergencies; call 911 in an emergency.
Yes. Fax referrals and relevant records to (804) 660-6321. Include the patient’s contact details, the reason for referral and the referring clinician’s contact information.
No. We contact the patient or family and confirm a time before the visit is booked.
No. Send existing results if available. The clinical team will explain what is needed for the visit and whether further testing is appropriate.
We see patients ages 0–26 for weight and metabolic concerns, abnormal growth or puberty, thyroid conditions and possible PCOS. The patient must be in Virginia or Maryland during video visits. Call (571) 480-6053 if you’re unsure whether a referral fits our services.
Call (571) 480-6053 to check a referral or discuss a clinical question. Send additional records by fax to (804) 660-6321.
Refer online, fax (804) 660-6321 or call (571) 480-6053. We arrange scheduling and send you the visit note.
(571) 480-6053