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Physician Referral Forms




Ready to enroll in one of our educational classes? If you have a received a referral from your physician to attend diabetes education, call us at 713.527.5520 or send us an online request using our Secure Form and we will respond promptly.

Please ask your referring physician to fax his or her orders to us at 713.285.1224.
Phone: 713.527.5520
Click here for our Secure Form