Refer someone to ViveWell Health

Know someone who could use our services? You’ve come to the right place.

Connecting Your Community
to Compassionate Care

ViveWell Health is dedicated to partnering with practitioners, friends, and family members who wish to guide others toward optimal health. Whether you’re a healthcare professional or someone looking to help a loved one find quality care, our team is here to support every step of the journey. Let us know how we can assist in providing the personalized support you envision for those you refer.

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Patient name*

First Last

Patient email*

Enter Email Confirm Email

Patient phone*

Please check all relevant categories for the patient’s referral:*

Patient evaluation / consultation

Ozone Services – Major Autohemotherapy infusions and other ozone adjunct therapy

EBOO- Blood cleansing and filtration – requires ViveWell Health provider approval

Total Tox (Mycotoxins, Toxic Metals, Environmental Toxins) – IV EDTA and oral DMPS metal provocation with IV glutathione procedure for testing only. Report sent to provider and patient.

Chelation (IV EDTA or DMPS) treatments – requires ViveWell Health provider approval

Regenerative Orthopedics – Optimization labs, Prolozone / peptide injections, provider evaluation

Advanced Surgical Support – Optimization labs, 3 weeks of infusion therapy & nutrition

Premium Surgical Support – Optimization labs, 6 weeks of infusion therapy & nutrition

Osteopathic Manipulative Treatment (OMT) – Dr. Erin Woessner

Please provide the date of surgery, if determined.*

Brief history, diagnosis, reason for consultation and/or services desired.*

File Upload

Please upload any relevant lab or imaging results, consultation reports, etc.

Drop files here or

Accepted file types: pdf, png, jpg, doc, docx, Max. file size: 64 MB.

Patient notified of referral?*

Yes

No

Referrer information

Referrer name*

First Last

Referrer email*

Enter Email Confirm Email

Referrer phone*

Department or specialty

Refer someone to ViveWell Health

Connecting Your Communityto Compassionate Care

Referrer information

Connecting Your Community
to Compassionate Care