"Quick, easy and very professional."
ChristCare Wellness Center
Patient Referrals
Refer a patient to ChristCare Wellness Center. Complete the referral form and fax it with any relevant supporting documentation, such as recent progress notes, medication lists, laboratory results, or other clinical records.
Get Started
Download the Referral Form
Our referral process is straightforward. Download the form, complete each applicable section, and fax it to one of the numbers listed on this page.
1
Download & Print
Click the button below to save the referral form as a PDF, then print it.
2
Complete the Form
Fill in patient details, insurance information, and the reason for referral.
3
Submit Your Referral
Fax the completed form and any helpful clinical records to our care team.
Open & Print Referral Form
Printable referral form • Complete applicable fields • Fax to ChristCare Wellness Center
Include progress notes, medication lists, labs, or other relevant clinical records when available.
How to Submit
-
Bring to Our Office
42 Lancaster St, Unit 2, Leominster MA
Mon-Thu: 9:00 AM - 5:00 PM
Fri: 9:00 AM - 2:00 PM
Sat-Sun: Closed -
Fax Numbers
(978) 736-3011 / (978) 588-9569 -
Questions?
Call us at (978) 775-2067
Accepted Insurance Plans
- Medicare & Medicaid
- Blue Cross Blue Shield
- Tufts Health Plan
- Aetna
- United Healthcare
- Mass Health
Don't see your plan? Call us - we verify coverage individually.
Verified Reviews
Find Us on WebMD
Scan the QR code with your phone to view Dr. Nancyver Lafleur-Omeler's profile and verified patient reviews on WebMD.
Scan to view WebMD profile
Dr. Nancyver Lafleur-Omeler, NP
Read verified patient reviews and learn more about our provider on WebMD - one of the most trusted health information platforms in the country.
Visit WebMD Profile
What Patients Say
Client Testimonials
Selected patient review snippets from Dr. Nancyver Lafleur-Omeler's WebMD profile.
"Excellent visit. Thank you."
"Friendly and knowledgeable."
Source: WebMD Care. Dr. Lafleur-Omeler is listed with a 5.0 patient rating.
Ready to Refer a Patient?
Download the referral form, fill it out, and bring it to our office or fax it to our care team. We look forward to welcoming your patient.