


Referral Information for GLP-1 Therapy
Thank you for considering Enrichiv for your patient’s weight management needs. We offer a comprehensive GLP-1 weight loss program featuring Semaglutide and Tirzepatide, designed to support sustainable and long-term results.
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To refer a patient, please complete the referral form and fax it along with relevant clinical documentation to (888) 541-0951. Our team will review the submission and coordinate directly with your patient for evaluation and treatment initiation.
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If you have any questions, feel free to contact us. We appreciate your trust in Enrichiv as your partner in patient wellness.


Dear Referring Provider,
To refer a patient, please complete the attached PDF form and fax it along with the chart note and supporting documents back to us at 888-541-0951. If you have any questions or need assistance, feel free to contact us.
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Thank you for your referral and collaboration in patient care.
Phone: 360-217-9321
Fax: 888-541-0951
Email: support@enrichiv.com
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