Health Care Practitioners
Health Management Referral Form

As a network practitioner, you may identify a Quartz member who may benefit from enrollment in one of our health management programs or health coaching. Quartz health management programs are designed to reinforce health goals and aid your patients in the self-management of their conditions. All of the programs support the evidence-based care needed for healthy outcomes.

We are presently offering health management programs in the following areas –

  • Asthma
  • Diabetes

Once enrolled, patients receive educational material such as magazines, newsletters and seasonal health reminders.

Each program emphasizes healthy lifestyles by –

  • Assisting in monitoring their health
  • Promoting ongoing interaction with practitioners
  • Assessing and coaching medication adherence
  • Directing to condition-specific resources
  • Educating on self-management of their condition

Individualized health coaching support is also available upon patient referral, enrollment, and consent for health coaching. We offer three to six phone-based health coaching sessions to your Quartz patients (at no cost) to improve health or lifestyle habits, including –

  • Weight Management
  • Physical Activity
  • Tobacco Cessation
* Required Field
Health Management Program

Health Coaching for Lifestyle Changes - Areas to Address

Patient Information

Information on person completing form, we may be contacting you with questions.