Provider Referral Program

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WELLNESS PROVIDERS

Do you have a patient who could greatly benefit from nutritional IV therapy?

The Good Life is your reliable partner for patient referrals. We offer comprehensive care options, and our expertise in nutritional IV therapy adds value to your patients’ healthcare journey. By partnering with us, your patients receive top-notch care and access to advancements in IV therapy. Enhance your practice and provide the best outcomes for your patients.

Have Questions?

Reach out to us today to learn more about how we can collaborate and support your patient's healthcare goals.

The Good Life is part of a family of businesses that have been devoted to providing exceptional patient care and healthcare staffing since 1997.

25+

Years of Providing Patient Care

Step 1 of 3

Referring Provider Information:

Name(Required)

Prefix First Last

Phone(Required)

Email(Required)

Contact Preference(Required)

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Patient/Client IV Therapy Information

Date and reason for most recent visit with provider:(Required)

Specific IV therapy recommendation for this client?

Yes

Select an IV Therapy you recommend for your Patient:

Reference The Good Life IVs. Also, we offer a variety of Add-on ingredients and/or Booster Shots. Upon submittal of an Appointment Request and review of your patient’s Intake Form, our staff and Medical Director will assess requests for any Add-ons and/or Booster Shots.

Additional input regarding your recommended IV (dosage, concerns, etc.):

Please advise as to reason for IV referral so we can best care for your Client:

How many IV’s are you recommending for this client?

How Often?

Pertinent health history and/or laboratory results:

Any additional information it is important for us to know:

Confirm you are real(Required)

(Select “I’m a person” and complete the Google Captcha to send the form.)

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