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Five Journeys Referrals^®

Referrals from
Five Journeys^®

Please fill out the form completely and plan accordingly as it may take up to two weeks to obtain a referral. Thank you.

Referrals to Five Journeys^®

To request a referral from your PCP to see our medical providers, please provide them with the following information.

Please fax the information to 617-934-6401.

If we do not receive this information before your first appointment, you will be charged for the visit and then reimbursed when the referral arrives. Thank you.

PLEASE INCLUDE:

The date of your first appointment
Number of visits – 12
The reason for your visit
Our Fax # 617-934-6401

The name and NPI# of your provider:

Edward Levitan, MD – NPI# 1740393222
Wendie Trubow, MD – NPI# 1730258237
Elizabeth Mitchell, NP – NPI# 1376669788
Bernice Wong, MD – NPI# 1265412076
Colby Fagan, NP – NPI# 1710649835

We believe you are meant to be vibrant, healthy and alive until at least 100 years of age. From Sex to Brain function, your vitality can improve decade over decade. We help get you there. Join us today!

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