Nutrition Referrals for Pediatric & Adult Patients

Thank you for your interest in referring a patient to Rochelle Adriano Nutrition! I provide individualized, evidence-based nutrition counseling for pediatric and adult patients via telehealth.

Who I See

• Pediatrics: Infants and children ages 0–11

• Adults: 18+

• Adolescents considered on a case-by-case basis depending on clinical needs

Telehealth services are available to patients who are physically located in:

• WA, AZ, CA*, CO, OR, TX, and VA

Common Referral Reasons

• Feeding challenges or selective eating

• ARFID or food avoidance

• Growth or nutrition adequacy concerns

• GI-related nutrition support

• Chronic condition nutrition counseling

• General nutrition support using a non-diet, weight-neutral approach

Referral Submission Options

Referrals may be submitted in one of the following ways:

• Referral by Secure Fax (Preferred for Clinical Details)
  Send fax referrals, including clinical information and protected health information (PHI), to:
  📠 206-673-3956
  

• General Referral Inquiry (Non-PHI):
  Use the form below to submit a general referral inquiry that does not include protected health information.

Patients may also self-refer.*

After the referral is received, the patient or caregiver will be contacted to complete intake, consent, and scheduling through a secure system. Referrals via fax are reviewed as they arrive, and patients are generally contacted within 2-3 business days.

*California patients require a physician referral prior to initiating services.