PROVIDER REFERRALS
Refer a Patient to Hopespring Wellness
We welcome referrals from physicians, nurse practitioners, physician assistants, physical therapists, chiropractors, and other healthcare professionals. Hopespring Wellness provides evidence-informed acupuncture and Traditional Chinese Medicine as a complement to your patient’s ongoing medical care. With the patient’s consent, we are glad to keep referring providers informed of their progress.
Option 1: Online Referral Request
Complete the brief form below with your contact information and the patient’s contact details. Our team will reach out to the patient to schedule an initial consultation. To protect patient privacy, please do not include diagnoses, medical records, or other clinical details in the online form. Please send those by fax.
Option 2: Fax a Referral
Fax your referral, clinical notes, and any relevant records to 425-633-2166. Please include:
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Patient name, date of birth, and phone number
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Referring provider name, practice, NPI, phone, and fax
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Diagnosis and ICD-10 code(s), with the reason for referral
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Relevant history, current medications, and any precautions or contraindications
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Recommended frequency or number of visits, if applicable
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Insurance information, if applicable
Referral Contact
Phone: 425-392-8881 | Fax: 425-633-2166
Email: hello@hopespringwellness.com
13401 Bel-Red Rd. Ste A12, Bellevue, WA 98005
Online Referral Request Form