Referral Info

We Can Help You Manage Your Diabetes!

To get started, call 949.764.8065 or fill out the form below.

For physician referred programs please have your healthcare provider complete a referral form:

  • Education classes, insulin instruction, or medical consultation by an endocrinologist referral form.
  • Sweet Success program (diabetes during pregnancy) referral form.
  • Medical nutrition therapy referral form.

For referring physicians:

How to refer:

  1. Referral form: patient contact information, diagnosis, services requested, A1c and/or OGTT results, provider signature
  2. Send any pertinent labs or chart notes

All chart notes for patients who come to the Center are sent to referring provider for coordinated care.