SCHEDULE AN APPOINTMENT

Talk To Someone
480-382-6109
Send A Message
Schedule Now
Talk To Someone
480-382-6109
Send A Message
Schedule Now

SCHEDULE AN
APPOINTMENT

TALK TO SOMEONE
480-382-6109

Send A Message
Schedule Now

Client Reference

Home
Client Reference
Suspect Your Client Has An Eating Disorder?

Sinnergy is Here To Help

Professional collaboration and scheduling them with a CEDS (Certified Registered Eating Disorder Specialist) Dietitian for an assessment is essential to ensure your client gets the care they need.

If you suspect your client has an eating disorder and want to refer, complete the info below or call us at 480-382-6109. We will contact your patient within one business day to learn about their condition. We will keep you updated if this client reaches out.

Fill Out the Form Below

General Information

Your Name

Patient Information

Patient Name
MM slash DD slash YYYY
If patient is under 18, please provide a primary parent contact.
Parent Name

Check Out Our Office

20230729_125006
20230817_121833
20230817_121849
20230817_121859
20230817_121912
20230817_121919
20230817_121931
20230817_122126
20230718_131828_2
20230722_173420
20230722_173541
20230722_173543
Request Appointment
Request Appointment

Adolescent/ Teen Group Interest

This form is to let us know you are interested in an adolescent/ teen group. Once we have enough people we will schedule a start date and let you know.

Name

Adult Group Interest

This form is to let us know you are interested in the adult virtual group. Once we have enough people we will schedule a start date and let you know.

Name

Family/ Loved Ones Group Interest

This form is to let us know you are interested in the family/loved ones virtual group. Once we have enough people we will schedule a start date and let you know.

Name

Booking Provided by Healthie

Booking Provided by Healthie

Booking Provided by Healthie

Booking Provided by Healthie

Booking Provided by Healthie

Booking Provided by Healthie