Refer a Patient

Before referring a patient, please review eligibility criteria here.

If your patient meets eligibility criteria:

• To refer from Boston Medical Center or a Network Health Center, please use EPIC to send a referral to the Nutrition and Fitness for Life program. The diagnosis on the referral should meet eligibility criteria.
• To refer from outside of the BMC network, please fax this FORM to our administrative coordinator, Sherry Racine (Fax: 617-414-5741)