Refer a Patient
Type into the form on your computer, save it, then fax it to (702) 745-8221 or send it through Practice Fusion.
How to Send a Referral
- Fax: Send the referral form or your own referral, plus recent notes, to (702) 745-8221.
- Practice Fusion: Practice Fusion users, send the referral electronically to Las Vegas Medical and Wellness.
- Phone: Call (702) 576-6056 to schedule or ask a question. Monday to Friday, 9 AM to 5 PM.
Please send patient information by fax or Practice Fusion only, not by email or through this website.
Download the fillable referral form
What to Include
- Patient name, date of birth, and phone number
- Insurance, or the claim number for DOL, DEEOIC, or workers' comp
- Reason for referral and diagnosis codes
- Recent office notes, lab results, imaging reports, and any prior PFTs
- Current medication list
- Hospital discharge summary, if applicable
Who We See
Adults 18 and older, for:
- Pulmonology with Dr. Anisa Valina, DO: COPD, asthma, chronic cough, interstitial lung disease, bronchiectasis and MAC, valley fever, sleep apnea, lung nodules, and occupational lung disease
- Nephrology with Dr. Jordana Cheta, MD: chronic kidney disease, resistant high blood pressure, kidney stones, electrolyte disorders, dialysis transitions, and post-transplant kidney care
- Internal medicine and primary care for adults with complex or multiple conditions
- Medical weight loss, including GLP-1 medications when appropriate
- Psychiatry and Spravato evaluation for treatment-resistant depression
Full pulmonary function testing, including DLCO, and a 12-lead EKG happen in our clinic.
Our Physicians


Hospital Follow-Up
Both physicians care for patients at Spring Valley Hospital. Patients discharged after a lung or kidney admission get same-week follow-up visits, so the plan started in the hospital keeps going.
Federal Workers and Workers' Comp
Case managers, claims examiners, attorneys, and union representatives refer patients with DOL/OWCP, DEEOIC white card, and Nevada workers' comp claims. Include the claim number with your referral, and we handle the program paperwork from there.
DOL and OWCP care · DEEOIC and energy workers
After the Visit
We send a consult note back to your office after each visit, with our findings, test results, and plan. Your patient stays your patient, and we coordinate with you on next steps.
Insurance
We are in network with all insurers, including Humana, except Health Plan of Nevada (HPN) and Intermountain. We accept Medicare, Medicare Advantage, DOL/OWCP, DEEOIC, and Nevada workers' comp, subject to these insurance exclusions.
