Refer A Patient

Your Referral Could Change a Life.

Schedule Consultation

Or Call

1-415-847-5020

Alternative Blood Tests

Blood Testing Referral Form

At Alternative Blood Tests, we believe in a personalized, data driven approach to uncovering and addressing the root causes of health concerns. If you know someone who could benefit from in depth blood analysis and tailored nutritional or functional support, we invite you to refer them using the form below.

Whether you’re a healthcare provider, caregiver, or someone who’s personally experienced the benefits of our services, your referral helps others take the first step toward clarity and well being.

Referrer Information:

Referrer’s First Name

Referrer’s Last Name

Referrer’s Practice/Organization

Referrer’s Phone Number

Referrer’s Email Address

Referral Date

Patient Information:

Patient’s First Name

Patients Last Name

Patient’s Date of Birth

Patient’s Phone Number

Patient’s Email Address

Patient’s Health Condition

Additional Information

Additional Notes

* I acknowledge that the information provided is accurate and consent to the referral process.

* I consent to sending confidential patient documents via this referral process.

* Basic Fields marked with a (*) are required. Review Our Privacy Policy Here.

Clinic Address

712 D St Ste J
San Rafael, CA 94901

Get Directions

Opening Hours

Mon-Thurs 9am-5pm
Friday by Appointment Only
CLOSED Saturday & Sunday

Phone

1-415-847-5020

Ready to Take the First Step?

Personalized Testing Starts with a Conversation.

Through expert guided blood testing tailored to your unique symptoms, history, and lifestyle, you’ll get the clarity you need. It all begins with a comprehensive 60 minute consultation where we take a holistic look at your health and create a personalized plan to move forward with confidence.

Receive the care You Deserve.

Schedule Consultation

1-415-847-5020

Ready to Take the First Step?

Personalized Testing Starts with a Conversation.

Receive the care You Deserve.

Schedule Consultation

1-415-847-5020