LOSE WEIGHT! DIET! NUTRITION COACHING: ONE ON ONE PHONE COACHING, Online, Wednesday, 09. November 2016

LOSE WEIGHT and DIET the HEALTHY WAY with A REGISTERED DIETITIAN. LINK WITH A DIETITIAN TO LEARN HOW MANY CALORIES YOU NEED TO SURVIVE WEIGHT and HEALTH ISSUES!


AVOID TRAFFIC!  A REGISTERED DIETITIAN CAN CALL YOU! JOIN TODAY! M-F 11A-11:45A or 4P-4:45PM


or CALL 703-606-5233 for FLEXIBLE OFFICE HOURS.


Emphasizing Clinical Diets along with Exercise to assist in promoting Wellness in the following expertise areas:


     *option prior to appointment : Ask your doctor to complete a Medical Nutrition Therapy Form (MNT FORM) to clarify counseling for 


WEIGHT MANAGEMENT Hypothyroidism


DIABETES


GASTROINTESTINAL DISORDERS like GERD, IBS, Celiac


SPORTS NUTRITION


HEART HEALTH


MATERNAL NUTRITION


PEDIATERICS to include Infants, Toddlers, Tweens,: Boost Academic Performance


****** INSURANCE OPTIONS :


OUT OF NETWORK MNT option available for reimbursement/filing assistance


MOST INSURANCE also accepted


**********************************************************************************************************************************


FOR SERVICE PLEASE PROVIDE: 


1.Your First and Last name,


2.phone #


3. email


4. Payment to secure consult time


5. ADULTS Please print PERSONAL MEAL PLAN SHEET (page 7) from www.LillyDiabetes.com prior to appointment for WEIGHT MANAGEMENT


FEES:  $100.00/45 minutes , initial consult


 $50.00/ 30 minute follow up as needed


I look forward to helping you at your scheduled time.


Rescheduling considered within 60 days of appointment time due to hospitalization or natural disaster.


**HIPAA RULES APPLY and  when appropriate, YOU,The Parent/Guardian CONSENT FOR ME TO TREAT A MINOR(s) and the Parent/Guardian must be present at the appointment.


INSURANCE:


PLEASE CHECK WITH YOUR INSURANCE FOR REIMBURSEMENT procedures, I AM A PROVIDER WITH:


 **** UNITED HEALTH CARE


****AMERICAN SPECIALTY HEALTH   ( 39 plans like  ANTHEM BLUE CROSS BLUE SHIELD and other BCBS) 


  BlueCrossBlueShield Nationwide (there are many specific plans)


PLEASE NOTE that a MNT (medical nutrition therapy) SUPERBILL can be given for OUT OF NETWORK for REIMBURSEMENT from your insurance company. 


 Thank you for agreeing to pay for any service that is not covered by your insurance at the time of service.


REQUIRED BY APPOINTMENT FOR REIMBURSEMENT:


1. Your Primary doctor mails an ORIGINAL referral form or prescription with your diagnosis code for MNT to my Reston Office at 1900 Campus Commons Drive #100, Reston, Va 20191 prior to your appt.


2. At Appointment:  driver's license


3. At Appointment: CURRENT insurance card and Please retrieve a mailing address and phone #  if not listed


OR   you agree to file with your insurance . Thank you.

Wednesday, 09. November 2016, Online, LOSE WEIGHT! DIET! NUTRITION COACHING: ONE ON ONE PHONE COACHING

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