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Patient Referral Forms

Ready to refer a patient? Complete this simple and secure referral form and submit online or fax to 800-355-1029. We have highly skilled Intake Coordinators ready to help should you require any assistance.

Gastroenterology

Order specially formulated medical food, Seracalâ„¢ to address healthy weight gain in individuals with digestive disorders and fat malabsorption through Vytala.