Medical Provider Referrals

 The Wilkes County Diabetes and Nutrition Center offers a Diabetes Self Management Program accredited by the American Diabetes Association. We also offer Medical Nutrition Therapy by Registered Dietitians.

Referral Steps


If you are a provider and would like to refer one of your patients to our Diabetes Self Management Education program or for Medical Nutrition Therapy, you can follow the easy steps below:
  1. Download and fill out a Referral Form (PDF).
  2. Complete the referral and accompanying information and fax to 336-667-1065. If you have questions, please call us at 336-667-0460.
  3. Upon receipt of the referral and referral information, one of our staff members will:
    1. Contact the patient to schedule an initial assessment with one of our Certified Diabetes Educators
    2. Notify your office by fax of the appointment date and time
    3. Notify your office if the patient does not keep the appointment
    4. After the appointment, provide you with an update, via fax, of a plan of care made by our Certified Diabetes Educator which will include education provided and goals individualized for the patient