referring providers

REFERRAL FORM

At IMPACT Wellness, I provide evidence-based, compassionate nutrition therapy and lifestyle coaching for individuals seeking long-term health improvements. I welcome referrals from physicians, specialists, therapists, and other healthcare professionals who want their patients to receive expert guidance in areas like weight management, metabolic health, post-GLP-1 support, bariatric surgery nutrition, and emotional well-being related to food and body image.

Who do I work with? I specialize in helping individuals who:

  • Managing chronic conditions such as diabetes, hypertension, kidney disease, and PCOS

  • Looking for sustainable weight loss with lifestyle-based health changes

  • Are currently on or transitioning off GLP-1 medications

  • Preparing for or recovering from bariatric surgery

  • Struggling with emotional eating or body image

  • Highly active individuals looking to optimize their physical fitness.

Services Offered

  • 1:1 Nutrition Therapy

  • Structured Program Packages (3, 6, 12 sessions)

  • IMPACT Intensive: 12-Month Weight Loss Program

  • The Next Chapter: GLP-1 Transition Program

  • Bariatric Surgery Support

  • Mindset & Emotional Wellness Coaching

  • Strength Training & Fitness Programming

Kiersten’s Education and Certifications

  • Master’s of Science in Human Nutritional Science from University of Wisconsin - Stout

  • Bachelor’s of Science in Dietetics from University of Wisconsin - Stout

  • National Academy of Sports Medicine - NASM Certified Personal Trainer (In Progress)

  • Dietetic Internship from Wellness Workdays in Boston, MA (emphasis in Worksite Wellness)

  • Certified Lifestyle Coach with the CDC