For referring professionals
Refer a client to LM Vitality.
A secure referral form for physicians, clinics, therapists, mental health professionals, and wellness practices. Please share only the information needed for our team to reach out.
Who can refer
Referrals from physicians, clinics, and wellness professionals.
Physicians, clinics, therapists, mental health professionals, wellness professionals, healthcare practices, and other approved referral partners can send a client to LM Vitality through a secure referral form. Our team reviews every referral and contacts the prospective client directly.
- Secure, confidential intake handled by our team
- Only general wellness categories are requested, never detailed medical records
- Written client permission to be contacted is required before submission
- Approved partners receive a unique referral link for accurate attribution
How a referral works
How a referral reaches our team.
Confirm permission
Written client permission to be contacted is required before submission. You confirm that the individual has given permission for LM Vitality to contact them regarding services.
Send the referral
Please share only the information needed for our team to reach out. Only general wellness categories are requested, never detailed medical records.
Our team takes it from there
Our team reviews every referral and contacts the prospective client directly.
Before you start
What the referral asks for.
Partner information
- Your full name (required)
- Practice or organization name
- Professional role or title
- Email address
- Phone number
Client information
- Client full name
- Client email
- Client phone number
- What type of support the client is seeking (optional)
- Additional information (optional)
A short note is enough. Treated as confidential.
What type of support is the client seeking?
General categories only. Please do not include detailed medical information.
- Mental Wellness & Stress
- Burnout / Feeling Overwhelmed
- Sleep & Energy
- Nutrition
- Weight Management
- Hormone / Metabolic Wellness
- Digestive Wellness
- Lifestyle & Healthy Habits
- Whole-Person Wellness
- General Wellness / Health Optimization
- Other
Marketing is optional. Either way, you'll still receive the operational emails needed for what you requested, such as confirmations, account and onboarding messages, and service notices. See our Privacy Policy and Terms of Use.
Important support & safety information
All services provided through LM Vitality are designed to offer guidance, education, and supportive wellness-based care. These services are not a replacement for emergency services, licensed medical care, or mental health treatment.
If you or someone you know is experiencing any of the following:
- Thoughts of harming yourself
- Thoughts of harming others
- Feeling unsafe or in immediate danger
- A medical or mental health emergency
Please call 911 or go to the nearest emergency room immediately. You may also contact the 988 Suicide & Crisis Lifeline for immediate, confidential support.
LM Vitality services are intended for ongoing support, education, and guidance. Emergency situations require immediate intervention from appropriate emergency or licensed professionals. If you are unsure whether your situation requires urgent care, it is always safest to seek immediate professional help.
Begin gently
You don't have to navigate your health alone.
Start with a Wellness Path Consultation. We'll listen first, then map a next step that fits your energy, your diagnosis, and your life.