Nutrition Education and Counseling Program Forms

Find forms and helpful tools to help manage your health and to set up an appointment with a registered dietitian through Sharp's Nutrition Education and Counseling Program.

You may request a referral for outpatient nutrition counseling from your primary care physician. Print this form and take to your physician's office. Once your physician has completed the referral form, they may fax it to our office and we will contact you to set up your first appointment. If you have any questions, call the Outpatient Nutrition Counseling Program at 619-740-4632.

Print, complete and bring the following forms to your first appointment:

Get directions and parking information for our four locations:

You will need Adobe Acrobat Reader to view and download these files.

We hope you find this website helpful, but please remember that Sharp HealthCare does not control or endorse the information presented on this website, nor does this site endorse the information found on www.sharp.com.

For More Information
Nutrition counseling may be covered by insurance with physician referral. Self-pay options are also available without referral. To learn more or to schedule an appointment, please call the Sharp HealthCare Outpatient Nutrition Counseling Program at 619-740-4632 or send us an email.

To learn more about Sharp's nutrition services or to find a Sharp-affiliated physician, search for San Diego doctors or call 1-800-82-SHARP (1-800-827-4277), Monday through Friday, 8 am to 6 pm. To find general information about nutrition, read the Nutrition News archive.