Naturopathic Physician Referral Form
About this free form template

Streamline Integrative Healthcare Referrals with Paperform

Coordinating care between naturopathic physicians and conventional healthcare providers requires clear communication, detailed treatment information, and careful documentation of supplement interactions. This Naturopathic Physician Referral Form template makes it simple to share comprehensive patient information with collaborative care teams while maintaining professional standards and evidence-based practice.

Whether you're a naturopathic doctor referring patients to specialists, primary care physicians seeking integrative support, or part of a multidisciplinary healthcare team, this form captures everything needed for safe, effective collaborative care—from current supplement protocols to contraindications and therapeutic goals.

Why healthcare providers choose Paperform

Paperform gives naturopathic physicians, integrative medicine clinics, and collaborative care teams a HIPAA-alternative solution for managing referrals and care coordination. Build professional, on-brand referral forms that collect detailed clinical information, conditional fields that adapt based on treatment types, and secure submission handling that protects patient privacy.

With conditional logic, you can show relevant fields based on referral type—whether it's for diagnostic testing, specialist consultation, or ongoing collaborative management. The form automatically adapts to capture the right information without overwhelming referring providers with unnecessary questions.

Automate your healthcare workflows with Stepper

Connect this referral form to Stepper, Paperform's AI-native workflow automation platform, to create seamless care coordination processes. When a referral is submitted, automatically notify the receiving provider, create tasks in your practice management system, send confirmation emails to patients, and update shared care plans—all without manual data entry.

Stepper helps integrative healthcare teams stay coordinated across different practice systems, ensuring nothing falls through the cracks when managing patients who see multiple providers.

Built for integrative and collaborative healthcare

This template is designed specifically for naturopathic physicians, functional medicine practitioners, integrative medicine clinics, holistic health centers, and collaborative care networks who need to share detailed patient information while maintaining therapeutic relationships across conventional and complementary medicine.

The form includes sections for current naturopathic treatments, supplement protocols with dosages, potential drug-herb interactions, evidence-based therapy documentation, and clear therapeutic goals—giving receiving providers the full clinical picture they need to make informed decisions.

Ready to improve care coordination and patient outcomes? Start with this template and customize it to match your practice's specific referral protocols and collaborative care agreements.

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michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
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