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Oakland County Health Division1200 N. Telegraph Rd., 34E Pontiac, MI 483410432 FAX # (248) 9754473NUTRITION REFERRAL27725 Greenfield Rd. Southfield, MI 480763625 FAX # (248) 4247144 OCHDnutritionservices@oakgov.comQuestions?

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How to fill out nutrition referral

01

Obtain nutrition referral form from healthcare provider or nutritionist.

02

Fill out client's personal information including name, age, contact information, and medical history.

03

Specify reason for nutrition referral and any dietary restrictions or allergies.

04

Provide details on current eating habits and lifestyle factors.

05

Submit the completed nutrition referral form to the appropriate healthcare provider or nutritionist.

Who needs nutrition referral?

01

Individuals who are experiencing nutritional deficiencies or have specific dietary needs.

02

Individuals who have medical conditions that require dietary management.

03

Athletes or individuals looking to improve their overall health and wellness through nutrition.

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What is nutrition referral?

Nutrition referral is a process by which healthcare professionals recommend a patient to a registered dietitian or nutritionist for specialized dietary advice.

Who is required to file nutrition referral?

Healthcare professionals such as doctors, nurses, and dietitians are required to file nutrition referrals for their patients.

How to fill out nutrition referral?

To fill out a nutrition referral, healthcare professionals need to provide the patient's name, medical history, dietary needs, and reason for the referral.

What is the purpose of nutrition referral?

The purpose of nutrition referral is to ensure that patients receive appropriate dietary advice and support to improve their health and well-being.

What information must be reported on nutrition referral?

Information such as the patient's medical history, dietary restrictions, and the reason for the referral must be reported on a nutrition referral.

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