Physician Referrals

Physician Referrals

If you are referring a patient to Lifespan Bioscience, complete the form below and our team will review the information, coordinate care, and support the next steps.

Physician referral forms

IV Iron Physician Referral

IV Iron Physician Referral

Your patient's journey to longevity

1

Functional Medicine Consult

Your patient meets with a longevity physician to review their health history, goals, symptoms, lifestyle, and areas of focus.

2

Specialized Testing

Advanced diagnostic testing provides deeper insights into your patient’s biology and helps identify opportunities for personalized care.

3

Your Treatment Plan

Our physicians translate results into a customized health strategy designed to address your patient’s unique needs and goals.

4

Personalized Therapies

Your patient begins physician-guided therapies, lifestyle strategies, and ongoing support designed to optimize their healthspan.

Other ways to submit

We appreciate your referral and are happy to make the process as convenient as possible.
If preferred, you can also submit patient referrals by phone, email, or fax.

By phone

By email

By fax

Forms

General Inquiries

Whether you’re a new or existing patient, we’re here to help. Access resources to prepare for your visit or connect with our team to become a patient, request a consultation, or ask a question.

Patient Self-Referral Forms
Patient Self-Referral Forms

A dedicated place for self-referral: patient information, intake, medical history, and submission.